Provider Demographics
NPI:1942047519
Name:RE-CIRCUIT ELECTRONICS LLC
Entity type:Organization
Organization Name:RE-CIRCUIT ELECTRONICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D00
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:TOURNOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-973-3942
Mailing Address - Street 1:855 S HOLLAND SYLVANIA RD STE 3
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6382
Mailing Address - Country:US
Mailing Address - Phone:419-973-3942
Mailing Address - Fax:
Practice Address - Street 1:855 S HOLLAND SYLVANIA RD STE 3
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-6382
Practice Address - Country:US
Practice Address - Phone:419-973-3942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health