Healthcare Provider Details

I. General information

NPI: 1831409002
Provider Name (Legal Business Name): TRI-STATE STAIRLIFTS & MOBILITY EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8140 U.S. RT 60
ASHLAND KY
41102-9522
US

IV. Provider business mailing address

8140 U.S. RT 60
ASHLAND KY
41102-9522
US

V. Phone/Fax

Practice location:
  • Phone: 606-329-1344
  • Fax: 606-928-4342
Mailing address:
  • Phone: 606-329-1344
  • Fax: 606-928-4342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number00001296
License Number StateKY

VIII. Authorized Official

Name: MR. STEVEN L LYON
Title or Position: OWNER
Credential:
Phone: 606-329-1344