Provider Demographics
NPI:1063840114
Name:ACCORD MEDICAL RENTALS, LLC
Entity Type:Organization
Organization Name:ACCORD MEDICAL RENTALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DIEDRA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:KEARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-920-8875
Mailing Address - Street 1:5658 HIGHWAY 260 STE 9
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85929-5189
Mailing Address - Country:US
Mailing Address - Phone:928-271-8013
Mailing Address - Fax:928-466-4043
Practice Address - Street 1:5658 HIGHWAY 260 STE 9
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:AZ
Practice Address - Zip Code:85929-5189
Practice Address - Country:US
Practice Address - Phone:928-271-8013
Practice Address - Fax:928-466-4043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCORD HEALTH GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care