Healthcare Provider Details
I. General information
NPI: 1942503305
Provider Name (Legal Business Name): DURABLE BED SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2010
Last Update Date: 12/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8679 ELMER HILL RD
ROME NY
13440-9314
US
IV. Provider business mailing address
8679 ELMER HILL RD
ROME NY
13440-9314
US
V. Phone/Fax
- Phone: 315-533-0766
- Fax: 315-533-0838
- Phone: 315-533-0766
- Fax: 315-533-0838
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SCOTT
RABE
Title or Position: PRESIDENT
Credential:
Phone: 315-533-0766