Organization
SCOOTER WAREHOUSE, INC.
Active
Organization
SCOOTER WAREHOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA K. MOORE (PRESIDENT)
(574) 299-8606
Entity
Organization
Contact information
Practice address
225 E JEFFERSON ST, PLYMOUTH, IN 46563-1857
(574) 936-2540
(574) 936-2540
Mailing address
4011 S MICHIGAN ST, SOUTH BEND, IN 46614-2543
(574) 299-8606
(574) 299-0538
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/17/2008
Last updated
10/02/2009
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