MEDICARE: ARTSYVE MEDI SUPPLIES 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

General Provider Information

NPI Number	:	1922699727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTSYVE MEDI SUPPLIES LLC

Provider Business Mailing Address
First Line	:	2993 S JEFFRY ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-0047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2993 S JEFFRY ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-0047
Country	:	US
Telephone Number	:	480-781-6888
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YVETTE CHAH
Credential	:
Telephone Number	:	480-781-6888

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	02/03/2021

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