Organization · Type 2 NPI
Angus Lake Infusion Services
Durable Medical Equipment & Medical Supplies · Gordon, GA
Practice location
240 Milledgeville Rd, Suite B
Gordon, GA 31031-3827
Fax (478) 628-2263
Mailing address
PO Box 249
Gordon, GA 31031-0249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | PHHH000055 (GA) |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PHHH000055 (GA) |
| Compounding Pharmacy | 3336C0004X | PHHH000055 (GA) |
| Home Infusion Therapy Pharmacy | 3336H0001X | PHHH000055 (GA) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1063855211
Angus Lake Infusion Services's National Provider Identifier is 1063855211, issued on Apr 8, 2013. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Gordon, GA. The record was last updated on Oct 18, 2013.