NPI:
1720555196
Provider Name:
FACEDOWN RENTAL, LLC
Former Legal Business Name: FACEDOWN RENTAL, LLC
Classification:
Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type:
Organization
Specialization: Customized Equipment
Address:
W188N11770 MAPLE RD # DOOR4
GERMANTOWN, WI
ZIP 53022
Phone:
(414) 476-9008
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FACEDOWN RENTAL, LLC is a customized equipment durable medical equipment medical supplies in Germantown, WI. FACEDOWN RENTAL, LLC NPI is 1720555196. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Facedown Rental, Llc.
The provider's business location address is:
W188N11770 MAPLE RD # DOOR4
GERMANTOWN, WI
ZIP 53022-410
Phone: (414) 476-9008
Fax: (414) 476-9089
The provider's authorized official is Debra Lynne Luckow .
The authorized official title is President and has the following contact phone number (414) 476-9008.
The enumeration date for this NPI number is 10/24/2018 and was last updated on 7/19/2019.