Provider Demographics
NPI:1114189826
Name:R-VILLE, INC.
Entity Type:Organization
Organization Name:R-VILLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MERKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-228-4351
Mailing Address - Street 1:2185 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-2002
Mailing Address - Country:US
Mailing Address - Phone:419-228-4351
Mailing Address - Fax:419-228-2789
Practice Address - Street 1:2185 N WEST ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-2002
Practice Address - Country:US
Practice Address - Phone:419-228-4351
Practice Address - Fax:419-228-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02039140332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies