Provider Demographics
NPI:1871281220
Name:DMENOW LLC
Entity type:Organization
Organization Name:DMENOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLAK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:954-326-1945
Mailing Address - Street 1:373 NE 167TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2305
Mailing Address - Country:US
Mailing Address - Phone:954-326-1945
Mailing Address - Fax:786-916-6093
Practice Address - Street 1:373 NE 167TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-2305
Practice Address - Country:US
Practice Address - Phone:954-326-1945
Practice Address - Fax:786-916-6093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies