Organization
GREAT AMERICAN SCOOTER COMPANY OF HUMBLE LLC
Active
Parent organization
GREAT AMERICAN SCOOTER COMPANY OF HUMBLE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT AMERICAN SCOOTER COMPANY OF HUMBLE, LLC
Authorized official
TROY LILES (PRESIDENT)
(832) 445-0956
Entity
Organization
Contact information
Practice address
2037 JOHNSTON ST, LAFAYETTE, LA 70503-2784
(281) 639-4177
Mailing address
2037 JOHNSTON ST, LAFAYETTE, LA 70503-2784
(281) 639-4177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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