Organization Name: | DIVINE MEDICAL EQUIPMENT SUPPLIES, INC. |
NPI Number: | 1518046622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTIN IFEANYI IROEGBU (PRESIDENT) |
Mailing Address: | 1001 Navaho Dr Suite 203-b Raleigh |
State: | NC US |
Postal Code: | 276097335 |
Phone Number: | 9198818068 |
Fax Number: | 9198818316 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 01191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |