Organization
SIMPLY BEDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM WAGNER (OWNER)
(812) 438-2676
Entity
Organization
Contact information
Practice address
4669 CASS UNION RD, RISING SUN, IN 47040-9690
(812) 438-2676
Mailing address
4669 CASS UNION RD, RISING SUN, IN 47040-9690
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
IN
332BC3200X
Customized Equipment (DME)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201218810A
—
IN
Enumeration date
12/16/2013
Last updated
07/25/2014
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