Provider Demographics
NPI:1326255167
Name:SHIRLEY MANLY LAMPKIN
Entity Type:Organization
Organization Name:SHIRLEY MANLY LAMPKIN
Other - Org Name:ALL HEALTH CARE IMANIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MANLY-LAMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN,PHD
Authorized Official - Phone:510-465-7333
Mailing Address - Street 1:546 9TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3938
Mailing Address - Country:US
Mailing Address - Phone:510-465-7333
Mailing Address - Fax:510-272-4752
Practice Address - Street 1:546 9TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3938
Practice Address - Country:US
Practice Address - Phone:510-465-7333
Practice Address - Fax:510-272-4752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies