Provider Demographics
NPI:1083372171
Name:LIVING MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:LIVING MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:O
Authorized Official - Last Name:OYEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-425-3924
Mailing Address - Street 1:4055 S 700 E
Mailing Address - Street 2:STE 101F
Mailing Address - City:MILLLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84107
Mailing Address - Country:US
Mailing Address - Phone:385-425-3924
Mailing Address - Fax:
Practice Address - Street 1:4055 S 700 E
Practice Address - Street 2:STE 101F
Practice Address - City:MILLLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84107
Practice Address - Country:US
Practice Address - Phone:385-425-3924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies