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NPI Code Detail

MEDICARE: REVEILLE DME, LLC

MEDICARE: REVEILLE DME, 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1023659224
Entity Type Code : Organization
Provider Name (Legal Business Name) : REVEILLE DME, LLC
Provider Business Mailing Address
First Line : 200 CONTINENTAL DR STE 401
Second Line :
City : NEWARK
State : DE
Zip : 19713-4337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 CONTINENTAL DR STE 401
Second Line :
City : NEWARK
State : DE
Zip : 19713-4337
Country : US
Telephone Number : 302-467-3800
Fax Number : 302-467-3801
Authorized Official
Title or Position : GENERAL MANAGER
Name : MR. JOHN ECKERT
Credential :
Telephone Number : 603-505-5650
Provider Enumeration Date : 09/30/2019
Last Update Date : 09/30/2019

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Directions to “REVEILLE DME, LLC ” Practice Location

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