Provider Demographics
NPI:1750760419
Name:SAFE STEP WALK IN TUB CO
Entity type:Organization
Organization Name:SAFE STEP WALK IN TUB CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEMAREE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELOCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-433-4763
Mailing Address - Street 1:402 BNA DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:402 BNA DR
Practice Address - Street 2:SUITE 350
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2519
Practice Address - Country:US
Practice Address - Phone:727-433-4763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier