NPI 1811430572
Medical Health &dme Supplies
Practice location
- Address
- Estate Concordia #112-2, Frederiksted, VI 00840
- Phone
- (340) 719-3845
- Mailing address
- PO Box 223762 100 Church Street Downtown Station, Christiansted, VI 00822
Authorised official
- Name
- Maxwell Clement Wilson
- Title
- Manager/Director
- Phone
- (340) 642-9515
Registered specialties (2)
Oxygen Equipment & Supplies (DME)
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1811430572
- Entity type
- Organization
- NPI issued
- 29 Nov 2016
- Record last updated
- 29 Nov 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.