Organization
SCOOTER STORE - WILKES BARRE LLC
Active
Parent organization
THE SCOOTER STORE - USA, INC.
Other names
SCOOTER Store/Alliance Seating and Mobility
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SCOOTER STORE - USA, INC.
Authorized official
JASON CONE (GENERAL COUNSEL & SECRETARY)
(830) 627-4433
Entity
Organization
Contact information
Practice address
109 W END RD, HANOVER TOWNSHIP, PA 18706-5448
(570) 822-8798
Mailing address
PO BOX 310709, NEW BRAUNFELS, TX 78131-0709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001887708 0005
—
PA
05
—
02523917
—
NY
Enumeration date
07/25/2006
Last updated
08/09/2013
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