Provider Demographics
NPI:1942754502
Name:ARTHRITIS WAREHOUSE
Entity Type:Organization
Organization Name:ARTHRITIS WAREHOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAISEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-295-0164
Mailing Address - Street 1:9858 GLADES RD
Mailing Address - Street 2:162
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3983
Mailing Address - Country:US
Mailing Address - Phone:888-248-1026
Mailing Address - Fax:
Practice Address - Street 1:9858 GLADES RD
Practice Address - Street 2:162
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3983
Practice Address - Country:US
Practice Address - Phone:888-248-1026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies