Healthcare Provider Details

I. General information

NPI: 1982012266
Provider Name (Legal Business Name): BED BUG BURNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 12/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 TALLMADGE RD. UNIT F2
KENT OH
44240
US

IV. Provider business mailing address

330 TALLMADGE RD. UNIT F2
KENT OH
44240
US

V. Phone/Fax

Practice location:
  • Phone: 888-631-9030
  • Fax: 888-935-3374
Mailing address:
  • Phone: 888-631-9030
  • Fax: 888-935-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MARCO IAFANO
Title or Position: OWNER
Credential:
Phone: 888-631-9030