Organization
MEGAMAR, INC.
Active
Other names
Tri State Lift
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN SUSAN ZVORAK (PRESIDENT)
(507) 455-3553
Entity
Organization
Contact information
Practice address
10048 SW 37TH AVE, ELLENDALE, MN 56026-2017
(507) 455-3553
(507) 455-3053
Mailing address
10048 SW 37TH AVE, ELLENDALE, MN 56026-2017
(507) 455-3553
(507) 455-3053
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
072669-RC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
965125000
—
MN
Enumeration date
01/31/2008
Last updated
01/31/2008
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