Organization · Type 2 NPI
The Elephant's Attic, Inc.
Customized Equipment (DME) · Vandalia, IL
NPI number
1194904763
Active
Practice location
1127 N 5th St
Vandalia, IL 62471-1203
Fax (618) 283-9127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 23966531 (IL) |
Customized Equipment (DME): Definition to come...
About NPI 1194904763
The Elephant's Attic, Inc.'s National Provider Identifier is 1194904763, issued on Oct 30, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Vandalia, IL. The record was last updated on Oct 30, 2007.