Provider Demographics
NPI:1588834667
Name:THE ASSISTIVE TECHNOLOGY WORKS, INC.
Entity Type:Organization
Organization Name:THE ASSISTIVE TECHNOLOGY WORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-337-4640
Mailing Address - Street 1:2974 OLD GREENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-5667
Mailing Address - Country:US
Mailing Address - Phone:540-337-4640
Mailing Address - Fax:
Practice Address - Street 1:2974 OLD GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-5667
Practice Address - Country:US
Practice Address - Phone:540-337-4640
Practice Address - Fax:540-337-4641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9105948Medicaid