Provider Demographics
NPI:1639303811
Name:M&M INDUSTRIES LLC
Entity Type:Organization
Organization Name:M&M INDUSTRIES LLC
Other - Org Name:A2Z HOME MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:MANFREDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-430-1079
Mailing Address - Street 1:162 LAKEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06073-2319
Mailing Address - Country:US
Mailing Address - Phone:860-430-1079
Mailing Address - Fax:860-430-1079
Practice Address - Street 1:430 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-2844
Practice Address - Country:US
Practice Address - Phone:315-412-0319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M&M INDUSTRIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-04
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies