Organization
POWER TAKE OFF ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. B. LANCASTER JR. (PRESIDENT)
(229) 624-2394
Entity
Organization
Contact information
Practice address
402 EAST COMMERCE STREET, PINEVIEW, GA 31071
(229) 624-2394
(229) 624-2121
Mailing address
1044 SCENIC RTE, CORDELE, GA 31015-6214
(229) 624-2394
(229) 624-2121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
04/03/2008
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