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Organization

HAPPY TRAILS ELECTRIC VEHICLE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GRUBE (OWNER)
(419) 891-9863
Entity
Organization

Contact information

Practice address
817 MICHIGAN AVE, MAUMEE, OH 43537-3503
(419) 891-0863
(419) 893-1404
Mailing address
817 MICHIGAN AVE, MAUMEE, OH 43537-3503
(419) 891-0863
(419) 893-1404

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0976118
OH
Enumeration date
02/09/2008
Last updated
02/09/2008
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