Wellformed AI

NPI 1982873626 · live from the CMS NPI Registry

Advocate Medical Support Group

Durable Medical Equipment & Medical Supplies in Mena, AR. National Provider Identifier 1982873626, active.

NPI record

NPI1982873626 Type 2 · organization
StatusActive
Primary specialtyDurable Medical Equipment & Medical Supplies 332B00000X
Practice location300 Crestwood Cir, Mena, AR 71953
Practice phone479-394-1600
EnumeratedFebruary 27, 2008
Last updatedMay 27, 2010
Authorized officialJanet Vandeest, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X— (AR)
Social Worker, Clinical1041C0700X—
Durable Medical Equipment & Medical Supplies primary332B00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.