Provider Demographics
NPI:1407034358
Name:A BETTER CHOICE MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:A BETTER CHOICE MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-443-2996
Mailing Address - Street 1:PO BOX 431949
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48343-1949
Mailing Address - Country:US
Mailing Address - Phone:888-466-4217
Mailing Address - Fax:888-466-7282
Practice Address - Street 1:3100 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-1603
Practice Address - Country:US
Practice Address - Phone:888-466-4217
Practice Address - Fax:888-466-7282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-02
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6094470001Medicare NSC