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Organization Active NPI Parenteral & Enteral Nutrition Supplies (DME) · Paducah, KY
NPI 1790094530 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1790094530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
- Legal business name
- MATTRESS GALLERY
- Practice address
- 3125 Lone Oak Rd
Suite B
Paducah, KY 42003-5743 - Phone
- (270) 554-7225
- Fax
- (270) 554-7242
- NPI assigned
- Sep 28, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Paula Gale Brewer
- Title
- Owner/Operator
- Phone
- (270) 554-7242
National Provider Directory
Locations
3125 Lone Oak Rd
Ste B
Paducah, KY 42003
Phone (270) 554-7225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Yes |
Addresses
Primary practice location
3125 Lone Oak Rd
Suite B
Paducah, KY 42003-5743
Mailing address
3125 Lone Oak Rd
Suite B
Paducah, KY 42003-5743
Phone (270) 554-7225
Other providers in Paducah, KY
- Kayla Mason
- Robert P Masse
- Grant Mathis
- Emma Caroline Mattingly
- Holly C Mattingly
- Mason Thomas Matzek
- David John Mauterer
- Tish Chambrae Mavigliano
- Elizabeth I Maxedon
- Brittany Ann May
All providers in Paducah, KY · Parenteral & Enteral Nutrition Supplies (DME) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.