Organization Name: | FORDHAM INC. |
NPI Number: | 1285732420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW SHELBOURNE (VICE PRESIDENT) |
Mailing Address: | 9585 Highway 78 Unit A Ladson |
State: | SC US |
Postal Code: | 294563925 |
Phone Number: | 8436373337 |
Fax Number: | 8436373338 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 032 37693 7 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |