Provider Demographics
NPI:1447332200
Name:RGD ENTERPRISES INC
Entity type:Organization
Organization Name:RGD ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:DADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-536-8300
Mailing Address - Street 1:3000 W PULLEN ST
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71601-3718
Mailing Address - Country:US
Mailing Address - Phone:870-536-8300
Mailing Address - Fax:870-536-8302
Practice Address - Street 1:3000 W PULLEN ST
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-3718
Practice Address - Country:US
Practice Address - Phone:870-536-8300
Practice Address - Fax:870-536-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR00230935001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR3856110001Medicare ID - Type UnspecifiedMOTORIZED WHEEL CHAIR