Provider Demographics
NPI:1801825567
Name:CJ RAULINGS MEDICAL EQUIPMENT & HOME MAKER COMPANION
Entity Type:Organization
Organization Name:CJ RAULINGS MEDICAL EQUIPMENT & HOME MAKER COMPANION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMBROSE
Authorized Official - Middle Name:O
Authorized Official - Last Name:OBASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-249-0256
Mailing Address - Street 1:18800 NW 2ND AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4044
Mailing Address - Country:US
Mailing Address - Phone:305-249-0256
Mailing Address - Fax:305-249-0257
Practice Address - Street 1:18800 NW 2ND AVE STE 216
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4044
Practice Address - Country:US
Practice Address - Phone:305-249-0256
Practice Address - Fax:305-249-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies