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ACTIVE LIFE HEALTH OF LILBURN LLC NPI 1295404531


NPI Information

NPI: 1295404531
Provider Name: ACTIVE LIFE HEALTH OF LILBURN LLC

Doing Business As: ARTHRITIS KNEE PAIN CENTERS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
629 BEAVER RUIN RD NW STE B
LILBURN, GA
ZIP 30047
Phone: (770) 755-1515
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ACTIVE LIFE HEALTH OF LILBURN LLC is a durable medical equipment medical supplies in Lilburn, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ACTIVE LIFE HEALTH OF LILBURN LLC NPI is 1295404531. The provider is registered as an organization entity type.
The provider Is Doing Business As Arthritis Knee Pain Centers.

The provider's business location address is:

629 BEAVER RUIN RD NW STE B
LILBURN, GA
ZIP 30047-437
Phone: (770) 755-1515
Fax: (770) 370-8173

The provider's authorized official is John J Rush .
The authorized official title is Chairman & Chief Executive Officer and has the following contact phone number (770) 755-1515.

The enumeration date for this NPI number is 9/9/2021 and was last updated on 11/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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