Provider Demographics
NPI:1487892345
Name:SPECIAL NEEDS SOLUTIONS, LLC
Entity type:Organization
Organization Name:SPECIAL NEEDS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCKOVER
Authorized Official - Suffix:
Authorized Official - Credentials:ATP,CRTS
Authorized Official - Phone:903-330-0821
Mailing Address - Street 1:12012 COUNTY ROAD 283 E
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-6010
Mailing Address - Country:US
Mailing Address - Phone:903-330-0821
Mailing Address - Fax:
Practice Address - Street 1:12012 COUNTY ROAD 283 E
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-6010
Practice Address - Country:US
Practice Address - Phone:903-330-0821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment