Rely Medical Supplies LLC

Key facts

NPI

1982860409

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

License

3801094 (PA)

Legal business name

RELY MEDICAL SUPPLIES LLC

Practice address

1817 North St
Philadelphia, PA 19130-3308

Phone

(267) 761-8522

Fax

(215) 634-1422

NPI assigned

Aug 4, 2008

Organization subpart

No

Authorized official

Name

Marco L Nunez

Title

Member

Phone

(267) 761-8522

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 4, 2008.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1982860409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 NORTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303308",
            "telephone_number": "267-761-8522",
            "fax_number": "215-634-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 NORTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303308",
            "telephone_number": "267-761-8522",
            "fax_number": "215-634-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-761-8522"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3801094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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