Organization Name: | JC & SHANNON HEALTHCARE |
NPI Number: | 1134349723 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA F MAZYCK (CO-OWNER) |
Mailing Address: | 2247 Mott Ave N Charleston |
State: | SC US |
Postal Code: | 294055917 |
Phone Number: | 8435543806 |
Fax Number: | 8435543802 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 06/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2007-01034NC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |