Organization
ACTIVE MEDICAL LLC
Active
Parent organization
ACTIVE MEDICAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE MEDICAL LLC
Authorized official
ROBERT JOSEPH TANT (MEMBER/MANAGER)
(304) 389-1246
Entity
Organization
Contact information
Practice address
89 HICKORY DR, BECKLEY, WV 25801-2834
(304) 763-7029
(304) 619-5302
Mailing address
3890 TEAYS VALLEY RD, HURRICANE, WV 25526-9720
(304) 397-6599
(304) 397-6566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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