Organization Name: | BRETTHAVEN INC. |
NPI Number: | 1174845861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL LYNN CROSS (OWNER/CEO) |
Mailing Address: | 606 W Main St Ste A Cookeville |
State: | TN US |
Postal Code: | 385065395 |
Phone Number: | 9315373211 |
Fax Number: | 9315379994 |
NPI Enumeration Date: | 02/22/2010 |
NPI Last Update Date: | 02/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |