Provider Demographics
NPI:1689013583
Name:ADORIWEAR, LLC
Entity Type:Organization
Organization Name:ADORIWEAR, LLC
Other - Org Name:TOMIANI, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-268-8094
Mailing Address - Street 1:164 GARRET WAY
Mailing Address - Street 2:
Mailing Address - City:PORT MATILDA
Mailing Address - State:PA
Mailing Address - Zip Code:16870-7047
Mailing Address - Country:US
Mailing Address - Phone:888-268-8094
Mailing Address - Fax:888-268-8094
Practice Address - Street 1:164 GARRET WAY
Practice Address - Street 2:
Practice Address - City:PORT MATILDA
Practice Address - State:PA
Practice Address - Zip Code:16870-7047
Practice Address - Country:US
Practice Address - Phone:888-268-8094
Practice Address - Fax:888-268-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier