Organization
TEAM ADAPTIVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTTY LEON SCHONEWITZ (OWNER)
(228) 388-5700
Entity
Organization
Contact information
Practice address
978 TOMMY MUNRO DR, BILOXI, MS 39532-2130
(228) 388-5700
(228) 385-2237
Mailing address
978 TOMMY MUNRO DR, BILOXI, MS 39532-2130
(228) 388-5700
(228) 385-2237
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0668311.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440922
—
MS
Enumeration date
09/13/2006
Last updated
07/08/2019
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