MEDICARE: AHM, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	600870926	NC

General Provider Information

NPI Number	:	1518217041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHM, LLC

Provider Business Mailing Address
First Line	:	113C WESTERN BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-5726
Country	:	US
Telephone Number	:	910-378-7510
Fax Number	:	910-238-2141

Provider Business Practice Location Address
First Line	:	113C WESTERN BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-5726
Country	:	US
Telephone Number	:	910-378-7510
Fax Number	:	910-238-2141

Authorized Official
Title or Position	:	CEO
Name	:	MRS. LIZ ACEVEDO
Credential	:
Telephone Number	:	910-378-7510

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	09/12/2013

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