Provider Demographics
NPI:1275065658
Name:PEACE OF MIND MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:PEACE OF MIND MEDICAL SUPPLY LLC
Other - Org Name:AFFINITY MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALI
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-490-5143
Mailing Address - Street 1:35 MAYWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4301
Mailing Address - Country:US
Mailing Address - Phone:585-490-5143
Mailing Address - Fax:
Practice Address - Street 1:35 MAYWOOD CIR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-4301
Practice Address - Country:US
Practice Address - Phone:585-490-5143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YANG GLOBAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-03
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies