Provider Demographics
NPI:1922623925
Name:MAN SALES ENTERPRISES LLC
Entity Type:Organization
Organization Name:MAN SALES ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-455-4176
Mailing Address - Street 1:12225 SOUTH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-7047
Mailing Address - Country:US
Mailing Address - Phone:562-455-4176
Mailing Address - Fax:
Practice Address - Street 1:12225 SOUTH ST STE 106
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-7047
Practice Address - Country:US
Practice Address - Phone:562-455-4176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies