Grove Lane LLC

NPI #1568179562 in Magnolia, Texas

Provider Information

NPI Number
1568179562
Entity Type
Organization
Organization Name
Grove Lane LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 31, 2022
Last Updated
Oct 31, 2022

Practice Location

Address
9107 BRECKENRIDGE DR
State
Texas
ZIP Code
77354-5742
Phone
(281) 777-8621

Authorized Official

Name
DENNIS LANE ESTES
Title
CONTROLLER
Phone
(281) 777-8621

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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