Active Medical LLC
NPI #1821418187 in Hurricane, West Virginia
Provider Information
- NPI Number
- 1821418187
- Entity Type
- Organization
- Organization Name
- Active Medical LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 24, 2014
- Last Updated
- Jul 10, 2019
Practice Location
- Address
- 3890 TEAYS VALLEY RD
- City
- Hurricane
- State
- West Virginia
- ZIP Code
- 25526-9720
- Phone
- (304) 397-6599
Authorized Official
- Name
- ROBERT JOSEPH TANT, ATP
- Title
- MEMBER/MANAGER
- Phone
- (304) 389-1246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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