Lifehouse Medical Supply, LLC
NPI #1740799055 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1740799055
- Entity Type
- Organization
- Organization Name
- Lifehouse Medical Supply, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 29, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 7437 NARCISSUS LN N
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55311-1726
- Phone
- (763) 258-6284
Authorized Official
- Name
- CHRISTOPHER D. KING
- Title
- PRESIDENT OF OPERATIONS
- Phone
- (763) 258-6284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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