Organization
ROMAN REHAB INC.
Active
Other names
Roman Wheelchairs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE EDWARD VAN HOORN CRTS (PRESIDENT)
(706) 235-8113
Entity
Organization
Contact information
Practice address
432 SHORTER AVE NW, ROME, GA 30165-4272
(706) 235-8113
(706) 235-9108
Mailing address
432 SHORTER AVE NW, ROME, GA 30165-4272
(706) 235-8113
(706) 235-9108
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
001084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00891987A
—
GA
Enumeration date
06/02/2005
Last updated
08/22/2020
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