Organization Name: | POWERCHAIRS PLUS |
NPI Number: | 1033370010 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIC BERNARD MIZELL (OWNER) |
Mailing Address: | 634 Main St Eastman |
State: | GA US |
Postal Code: | 310236842 |
Phone Number: | 4783743116 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2008 |
NPI Last Update Date: | 06/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 36115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |