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Organization
ROMAN REHAB INC.
Active
Organization
ROMAN REHAB INC.
Active
Other names
Roman Wheelchairs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE EDWARD VAN HOORN CRTS (PRESIDENT)
(706) 235-8113
Entity
Organization
Contact information
Practice address
432 SHORTER AVE NW, ROME, GA 30165-4272
(706) 235-8113
(706) 235-9108
Mailing address
432 SHORTER AVE NW, ROME, GA 30165-4272
(706) 235-8113
(706) 235-9108
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
001084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00891987A
—
GA
Enumeration date
06/02/2005
Last updated
08/22/2020
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