Provider Demographics
NPI:1053576983
Name:CEILING LIFTS & MEDICAL SUPPLY, INC
Entity type:Organization
Organization Name:CEILING LIFTS & MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SKJERVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-695-0777
Mailing Address - Street 1:2611 E BEAR CREEK LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-5284
Mailing Address - Country:US
Mailing Address - Phone:480-695-0777
Mailing Address - Fax:480-361-4961
Practice Address - Street 1:2611 E BEAR CREEK LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-5284
Practice Address - Country:US
Practice Address - Phone:480-695-0777
Practice Address - Fax:480-361-4961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20155972332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies