Organization
SAFLOY MEDICAL SUPPLY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FLORENCE MGBEDEM OKOLIE (PRESIDENT)
(817) 652-4493
Entity
Organization
Contact information
Practice address
2308 CREST PARK DR, ARLINGTON, TX 76006-2801
(817) 652-4493
(817) 652-4431
Mailing address
2308 CREST PARK DR, ARLINGTON, TX 76006-2801
(817) 652-4493
(817) 652-4431
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0071383
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0071383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071383
STATE LICENCE #
TX
05
—
17075150
—
TX
Enumeration date
07/08/2006
Last updated
08/18/2021
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