Provider Demographics
NPI:1760081525
Name:AFTER ACTION MEDICAL AND DENTAL SUPPLY, LLC
Entity Type:Organization
Organization Name:AFTER ACTION MEDICAL AND DENTAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:AYTES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:800-892-5352
Mailing Address - Street 1:4444 DECATUR BLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241
Mailing Address - Country:US
Mailing Address - Phone:800-892-5352
Mailing Address - Fax:888-219-7680
Practice Address - Street 1:4444 DECATUR BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241
Practice Address - Country:US
Practice Address - Phone:800-892-5352
Practice Address - Fax:888-219-7680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies