Provider Demographics
NPI:1235463977
Name:NU LIFE MED LLC
Entity Type:Organization
Organization Name:NU LIFE MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HRADECKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-206-5725
Mailing Address - Street 1:250 NORTH COMMERCIAL STREET
Mailing Address - Street 2:SUITE 3003
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101
Mailing Address - Country:US
Mailing Address - Phone:603-206-5725
Mailing Address - Fax:603-676-7878
Practice Address - Street 1:250 NORTH COMMERCIAL STREET
Practice Address - Street 2:SUITE 3003
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101
Practice Address - Country:US
Practice Address - Phone:603-206-5725
Practice Address - Fax:603-676-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies