Provider Demographics
NPI:1215042007
Name:ACCURATE OXYGEN & MEDICAL SUPPLY L.L.C
Entity Type:Organization
Organization Name:ACCURATE OXYGEN & MEDICAL SUPPLY L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-544-3956
Mailing Address - Street 1:13925 W MEEKER BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4430
Mailing Address - Country:US
Mailing Address - Phone:623-544-3956
Mailing Address - Fax:623-544-3958
Practice Address - Street 1:13925 W MEEKER BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4430
Practice Address - Country:US
Practice Address - Phone:623-544-3956
Practice Address - Fax:623-544-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20020638332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies