Provider Demographics
NPI:1043085533
Name:VAN WERT BEDROOMS INC
Entity Type:Organization
Organization Name:VAN WERT BEDROOMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCONN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-238-3399
Mailing Address - Street 1:706A W ERVIN RD
Mailing Address - Street 2:
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891-2202
Mailing Address - Country:US
Mailing Address - Phone:419-238-3399
Mailing Address - Fax:
Practice Address - Street 1:706A W ERVIN RD
Practice Address - Street 2:
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-2202
Practice Address - Country:US
Practice Address - Phone:419-238-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies