Organization Name: | 2OVE1 LLC |
NPI Number: | 1003263799 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN CHARLES HARRE (OWNER) |
Mailing Address: | 4620 Montana Ave El Paso |
State: | TX US |
Postal Code: | 799034708 |
Phone Number: | 9152220472 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2016 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |