Provider Demographics
NPI:1891794897
Name:UNIVERSAL DME, LLC
Entity Type:Organization
Organization Name:UNIVERSAL DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-878-4900
Mailing Address - Street 1:PO BOX 736
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31702-0736
Mailing Address - Country:US
Mailing Address - Phone:229-878-4900
Mailing Address - Fax:229-878-4901
Practice Address - Street 1:219 PHILEMA RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-6621
Practice Address - Country:US
Practice Address - Phone:229-878-4900
Practice Address - Fax:229-878-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies