MEDICARE: INSPIRED SOULTIONS

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

General Provider Information

NPI Number	:	1235570748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRED SOULTIONS

Provider Business Mailing Address
First Line	:	8275 EAST AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8275 S EASTERN AVE
Second Line	:	STE 200-400
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2591
Country	:	US
Telephone Number	:	818-625-1624
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS JEANNETTE MONGE
Credential	:
Telephone Number	:	818-625-1624

Provider Enumeration Date	:	07/12/2013
Last Update Date	:	07/12/2013

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Directions to “INSPIRED SOULTIONS ” Practice Location

Language	Start Address	Practice Location

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