Organization
SORRELL HOME MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA EDWIN SORRELL (OWNER)
(502) 570-9835
Entity
Organization
Contact information
Practice address
101 EASTSIDE DR, SUITE A, GEORGETOWN, KY 40324-8763
(502) 570-9835
Mailing address
208 W PLEASANT ST, SUITE 3, CYNTHIANA, KY 41031-2421
(502) 570-9835
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG0634
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90005901
—
KY
Enumeration date
06/26/2008
Last updated
03/26/2009
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