Provider Demographics
NPI:1518510064
Name:LIBERTY BELL MEDICAL SUPPLY
Entity Type:Organization
Organization Name:LIBERTY BELL MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-583-7742
Mailing Address - Street 1:8120 BELVEDERE RD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3201
Mailing Address - Country:US
Mailing Address - Phone:863-583-7742
Mailing Address - Fax:888-600-5510
Practice Address - Street 1:8120 BELVEDERE RD UNIT 4
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3201
Practice Address - Country:US
Practice Address - Phone:863-583-7742
Practice Address - Fax:888-600-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies