Provider Demographics
NPI:1063266799
Name:BATH FACTORY LLC
Entity type:Organization
Organization Name:BATH FACTORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MESKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-715-8479
Mailing Address - Street 1:1099 ANTLER DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3254
Mailing Address - Country:US
Mailing Address - Phone:412-715-8479
Mailing Address - Fax:
Practice Address - Street 1:1099 ANTLER DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3254
Practice Address - Country:US
Practice Address - Phone:412-715-8479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty