MEDICARE: AKLOR INC

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1952919136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AKLOR INC

Provider Business Mailing Address
First Line	:	2310 PARKLAKE DR NE STE 135
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-2913
Country	:	US
Telephone Number	:	678-508-6777
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 PARKLAKE DR NE STE 135
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-2913
Country	:	US
Telephone Number	:	678-551-0520
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LORETTA L HENSHAW
Credential	:
Telephone Number	:	678-508-7777

Provider Enumeration Date	:	07/14/2020
Last Update Date	:	08/17/2020

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Directions to “AKLOR INC ” Practice Location

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