Healthcare Provider Details

I. General information

NPI: 1992073126
Provider Name (Legal Business Name): SCOOTERS-4-RENT ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13136 NERO LN
LAUREL DE
19956-3302
US

IV. Provider business mailing address

13136 NERO LN
LAUREL DE
19956-3302
US

V. Phone/Fax

Practice location:
  • Phone: 302-280-6203
  • Fax:
Mailing address:
  • Phone: 302-280-6203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number2010605324
License Number StateDE

VIII. Authorized Official

Name: MRS. GAILELAINE HECKMAN
Title or Position: OWNER/OPERATOR
Credential:
Phone: 302-280-6203