Provider Demographics
NPI:1003087503
Name:TRUCKLOAD MATTRESS INC
Entity Type:Organization
Organization Name:TRUCKLOAD MATTRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:JULE
Authorized Official - Last Name:PRIORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-269-5674
Mailing Address - Street 1:45 W LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2846
Mailing Address - Country:US
Mailing Address - Phone:610-269-3736
Mailing Address - Fax:610-269-0739
Practice Address - Street 1:45 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2846
Practice Address - Country:US
Practice Address - Phone:610-269-3736
Practice Address - Fax:610-269-0739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies