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Full Of Life 5580
Durable Medical Equipment & Medical Supplies in Idaho Falls, Idaho
NPI 1447580428

Full Of Life 5580 is a Durable Medical Equipment & Medical Supplies based in Idaho Falls, ID. Full Of Life 5580 practices in Idaho Falls, ID. The NPI Number for Full Of Life 5580 is 1447580428 and holds a License No. 003513710-S (Idaho).

The current practice location address for Full Of Life 5580 is 697 E 1600 N, Idaho Falls, ID and can be reached out via phone at 208-521-0155 and via fax at 208-357-7516.

Location: 697 E 1600 N, Idaho Falls, ID, 83402-5752
institution
Provider Profile Details
NPI Number
1447580428
Provider Name
Full Of Life 5580
Credential
Provider Entity Type
Organization
Address
697 E 1600 N, Idaho Falls, ID, 83402-5752
Phone Number
208-521-0155
Fax Number
208-357-7516
Provider Enumeration Date
01/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003513710-S 01 ID SELLER'S PERMIT
institution
Provider Business Practice Location Address Details
Address
697 E 1600 N
City
State
Zip
83402-5752
Phone Number
208-521-0155
Fax Number
208-357-7516
person
Provider Business Mailing Address Details
Address
697 E 1600 N
City
State
Zip
83402-5752
Phone Number
208-521-0155
Fax Number
208-357-7516
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
003513710-S (Idaho)
Definition
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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