MEDICARE: TIMES OF REFRESHING ENTERPRISES

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	109003150	TN

General Provider Information

NPI Number	:	1326275561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMES OF REFRESHING ENTERPRISES

Provider Business Mailing Address
First Line	:	4922 SHIFRI AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-2038
Country	:	US
Telephone Number	:	901-683-9852
Fax Number	:

Provider Business Practice Location Address
First Line	:	4922 SHIFRI AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-2038
Country	:	US
Telephone Number	:	901-683-9852
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LOUIS EDWARD RICHARDSON
Credential	:
Telephone Number	:	901-683-9852

Provider Enumeration Date	:	06/15/2009
Last Update Date	:	06/15/2009

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Directions to “TIMES OF REFRESHING ENTERPRISES ” Practice Location

Language	Start Address	Practice Location

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