| NPI | 1205119146 |
|---|---|
| Other Name | STATESERV MEDICAL LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROODE COO 877-633-7250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 1014) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 900774) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-10-21 |