Provider Demographics
NPI:1811221526
Name:RESURGENCE DURABLE MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:RESURGENCE DURABLE MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ANGELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-248-9834
Mailing Address - Street 1:550 PATTERSON RD
Mailing Address - Street 2:STE A
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1938
Mailing Address - Country:US
Mailing Address - Phone:970-241-9191
Mailing Address - Fax:970-248-9835
Practice Address - Street 1:550 PATTERSON RD
Practice Address - Street 2:STE A
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-1938
Practice Address - Country:US
Practice Address - Phone:970-241-9191
Practice Address - Fax:970-248-9835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR-39442332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies