Organization Name: | ACTIVE AMERICAN SCOOTER COMPANY |
NPI Number: | 1245344951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SOLOMON LOWELL ADAMS (VICE PRESIDENT) |
Mailing Address: | 103 Circle Way St Lake Jackson |
State: | TX US |
Postal Code: | 775665233 |
Phone Number: | 9792973155 |
Fax Number: | 9792972695 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 05/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |