Provider Demographics
NPI:1841024676
Name:MORNING LIGHT DME LLC
Entity type:Organization
Organization Name:MORNING LIGHT DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-831-4967
Mailing Address - Street 1:820 TAUNTON AVE STE R
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-3115
Mailing Address - Country:US
Mailing Address - Phone:617-831-4967
Mailing Address - Fax:
Practice Address - Street 1:820 TAUNTON AVE STE R
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-3115
Practice Address - Country:US
Practice Address - Phone:617-831-4967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies