Organization
ADAPTIVE SPECIALTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANE AL-FAYEZ (PRESIDENT)
(877) 400-5264
Entity
Organization
Contact information
Practice address
470 OLDE WORTHINGTON RD STE 200, WESTERVILLE, OH 43082-9127
(877) 808-4540
Mailing address
470 OLDE WORTHINGTON RD STE 200, WESTERVILLE, OH 43082-9127
(877) 808-4540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
83036662
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83036662
RESELLER LICENSE
OH
Enumeration date
07/09/2012
Last updated
10/18/2022
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