Provider Demographics
NPI: | 1346588423 |
---|---|
Name: | FRANK'S POWER WHEELCHAIR REPAIR SERVICE INC. |
Entity type: | Organization |
Organization Name: | FRANK'S POWER WHEELCHAIR REPAIR SERVICE INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT/ CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | PATRICK |
Authorized Official - Middle Name: | F |
Authorized Official - Last Name: | NORTH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 866-322-2261 |
Mailing Address - Street 1: | 2404 BYTHAM CT |
Mailing Address - Street 2: | SUITE 104 |
Mailing Address - City: | WINDSOR MILL |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21244-5757 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 866-322-2261 |
Mailing Address - Fax: | 866-463-8813 |
Practice Address - Street 1: | 2404 BYTHAM CT |
Practice Address - Street 2: | SUITE 104 |
Practice Address - City: | WINDSOR MILL |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21244-5757 |
Practice Address - Country: | US |
Practice Address - Phone: | 866-322-2261 |
Practice Address - Fax: | 866-463-8813 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-01-23 |
Last Update Date: | 2013-01-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |