MEDICARE: REBIRTH VENTURES

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	:	1366689556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBIRTH VENTURES

Provider Business Mailing Address
First Line	:	6108 DAWNVIEW CT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-3816
Country	:	US
Telephone Number	:	214-675-7167
Fax Number	:	817-394-1256

Provider Business Practice Location Address
First Line	:	6108 DAWNVIEW CT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-3816
Country	:	US
Telephone Number	:	214-675-7167
Fax Number	:	817-394-1256

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OLADELE KEHINDE
Credential	:
Telephone Number	:	214-675-7167

Provider Enumeration Date	:	01/09/2009
Last Update Date	:	01/09/2009

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Directions to “REBIRTH VENTURES ” Practice Location

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