Provider Demographics
NPI:1689400335
Name:ROEDIGER & SONS LLC
Entity type:Organization
Organization Name:ROEDIGER & SONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEDIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-434-3900
Mailing Address - Street 1:7977 WASHINGTON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4026
Mailing Address - Country:US
Mailing Address - Phone:937-434-3900
Mailing Address - Fax:937-434-1300
Practice Address - Street 1:7977 WASHINGTON WOODS DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4026
Practice Address - Country:US
Practice Address - Phone:937-434-3900
Practice Address - Fax:937-434-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health