Provider Demographics
NPI:1841770195
Name:A HEALTHYCHOICE DME LLC
Entity Type:Organization
Organization Name:A HEALTHYCHOICE DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-453-1325
Mailing Address - Street 1:1958-6 BOX 150
Mailing Address - Street 2:N. COLUMBIA ST
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061
Mailing Address - Country:US
Mailing Address - Phone:478-453-1325
Mailing Address - Fax:478-452-0256
Practice Address - Street 1:3015 HERITAGE RD NE STE 3
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-8202
Practice Address - Country:US
Practice Address - Phone:478-453-1325
Practice Address - Fax:478-452-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies