Maxicare Medical Supply

LBN: Maxicare Medical Supply
Maxicare Medical Supply is an health care organization with primary practice located at 804 Commerce Blvd Suite A-32, Riverdale GA 30296-7198. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Maxicare Medical Supply can be contacted via phone (770) 907-0194, or through Mbaba, Efiong Eyo via phone (770) 907-0194.

Contact Information

Primary practice address
804 Commerce Blvd Suite A-32 Riverdale GA 30296-7198
Phone: (770) 907-0194
Fax: (770) 907-0195
Website:
Map and Directions
Authorized official contact:
Name: Mbaba, Efiong Eyo REGISTERED NURSE
Phone: (770) 907-0194

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 06-19916 Georgia

Profile Details

NPI number 1790959187
LBN Legal business name Maxicare Medical Supply
DBA Doing business as
Authorized official Mbaba, Efiong Eyo REGISTERED NURSE
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2008
Last updated Aug 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790959187 NPPES
Georgia MEDICAID 379763323A

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