Organization · Type 2 NPI

Urban Haven Retail LLC

Durable Medical Equipment & Medical Supplies · Grand Prairie, TX

NPI number 1619874450 Active

Practice location

115 NW 22nd St
Grand Prairie, TX 75050-5090

Call (812) 665-4980 Map

Mailing address

117 Donahue St Apt 24
Sausalito, CA 94965-1260

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

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.

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About NPI 1619874450

Urban Haven Retail LLC's National Provider Identifier is 1619874450, issued on Oct 23, 2026. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 23, 2026.