Organization Name: | SELF-DIRECT, INC. |
NPI Number: | 1134381353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA ANN PALUMBO (PRESIDENT/DIRECTOR) |
Mailing Address: | 12 Oswego St Baldwinsville |
State: | NY US |
Postal Code: | 130272529 |
Phone Number: | 3156355374 |
Fax Number: | 3156355375 |
NPI Enumeration Date: | 06/29/2008 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5386080002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |