Provider Demographics
NPI:1902685399
Name:THE POST-OP SHOP DME & SUPPLIES L.L.C.
Entity Type:Organization
Organization Name:THE POST-OP SHOP DME & SUPPLIES L.L.C.
Other - Org Name:THE POST-OP SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:RACHAUN
Authorized Official - Middle Name:ENRICO
Authorized Official - Last Name:REIOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-706-7376
Mailing Address - Street 1:7618 GARLAND CIR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-7977
Mailing Address - Country:US
Mailing Address - Phone:704-706-7376
Mailing Address - Fax:704-706-7376
Practice Address - Street 1:1100 PEACHTREE ST NE STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-4829
Practice Address - Country:US
Practice Address - Phone:704-706-7376
Practice Address - Fax:704-706-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies