Healthcare Provider Details

I. General information

NPI: 1760828099
Provider Name (Legal Business Name): BESTEVALUE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 TOWN SQUARE PL
JERSEY CITY NJ
07310-1756
US

IV. Provider business mailing address

123 TOWN SQUARE PL
JERSEY CITY NJ
07310-1756
US

V. Phone/Fax

Practice location:
  • Phone: 646-580-1302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332G00000X
TaxonomyEye Bank
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. ARSENE CHARLES
Title or Position: PRESIDENT
Credential:
Phone: 646-580-1302