Organization Name: | THERAPY SUPPORT, INC. |
NPI Number: | 1740458611 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSCELL D PAVLIN (3M MANAGER) |
Mailing Address: | 295 S Alex Rd West Carrollton |
State: | OH US |
Postal Code: | 454491910 |
Phone Number: | 9378656590 |
Fax Number: | 9378656595 |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 02-1456800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |