Provider Demographics
NPI:1699463489
Name:DANBURY WHEELCHAIR SERVICE LLC
Entity type:Organization
Organization Name:DANBURY WHEELCHAIR SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-312-0474
Mailing Address - Street 1:15 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4806
Mailing Address - Country:US
Mailing Address - Phone:203-312-0474
Mailing Address - Fax:
Practice Address - Street 1:15 WALNUT ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4806
Practice Address - Country:US
Practice Address - Phone:203-312-0474
Practice Address - Fax:203-743-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)