Provider Demographics
NPI:1730703927
Name:NOVOWARE INC
Entity type:Organization
Organization Name:NOVOWARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARINO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDRONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-514-9957
Mailing Address - Street 1:PO BOX 965186
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-0004
Mailing Address - Country:US
Mailing Address - Phone:770-514-9957
Mailing Address - Fax:770-874-1703
Practice Address - Street 1:1255 KENNESTONE CIR STE 240
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-6037
Practice Address - Country:US
Practice Address - Phone:770-514-9957
Practice Address - Fax:770-874-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community MobilityGroup - Single Specialty