Organization Name: | LITTLE RIVER RESPIRATORY CARE INC |
NPI Number: | 1457368011 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY H FOX (PRESIDENT) |
Mailing Address: | 3381 High Hill Dr Little River |
State: | SC US |
Postal Code: | 295669302 |
Phone Number: | 8433992341 |
Fax Number: | 8433996696 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 65008433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |