MEDICARE: ROSEMARY ADELAJA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093741068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEMARY ADELAJA

Provider Business Mailing Address
First Line	:	10935 ESTATE LANE
Second Line	:	STE S330
City	:	DALLAS
State	:	TX
Zip	:	75238-2316
Country	:	US
Telephone Number	:	214-221-7155
Fax Number	:	214-221-7275

Provider Business Practice Location Address
First Line	:	10935 ESTATE LN
Second Line	:	STE S330
City	:	DALLAS
State	:	TX
Zip	:	75238-2316
Country	:	US
Telephone Number	:	214-221-7155
Fax Number	:	214-221-7275

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ROSEMARY ADELAJA
Credential	:
Telephone Number	:	214-221-7155

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/04/2009

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Directions to “ROSEMARY ADELAJA ” Practice Location

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