Organization Name: | DRAINVILLE ENTERPRISES |
NPI Number: | 1437158367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN L. KENT (OWNER/PRESIDENT) |
Mailing Address: | 128 Village Lake Rd Siler City |
State: | NC US |
Postal Code: | 273441821 |
Phone Number: | 9196633554 |
Fax Number: | 9196631866 |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | PHARMACE PERMIT 0073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |