Organization Name: | PLUMTREE LLC |
NPI Number: | 1043463060 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT W KNAPP (MEMBER MANAGER) |
Mailing Address: | 50 Plum Tree Ln Fort Valley |
State: | VA US |
Postal Code: | 226523219 |
Phone Number: | 5409336006 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2008 |
NPI Last Update Date: | 11/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 2705117115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |