Organization Name: | CERTIFIED HEALTH SERVICES, LLC |
NPI Number: | 1174846588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOAN DEELEY (OWNER/MANAGER) |
Mailing Address: | 3540 Clemmons Rd Suite 100 Clemmons |
State: | NC US |
Postal Code: | 270129394 |
Phone Number: | 3367578046 |
Fax Number: | 8884183265 |
NPI Enumeration Date: | 03/12/2010 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | HC4218 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |