Provider Demographics
NPI:1275872921
Name:MEDILIFE GLOBAL LLC
Entity Type:Organization
Organization Name:MEDILIFE GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHICHI
Authorized Official - Middle Name:SABINAH
Authorized Official - Last Name:UME-LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-521-1722
Mailing Address - Street 1:2611 LAKE PARK BND
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-6888
Mailing Address - Country:US
Mailing Address - Phone:678-521-1722
Mailing Address - Fax:
Practice Address - Street 1:2611 LAKE PARK BND
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-6888
Practice Address - Country:US
Practice Address - Phone:678-521-1722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies