Organization Name: | VANESSA COBLE |
NPI Number: | 1518376144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VANESSA COBLE (PRESIDENT) |
Mailing Address: | 540 W Elm St Graham |
State: | NC US |
Postal Code: | 272532158 |
Phone Number: | 3362270730 |
Fax Number: | 3362270732 |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 01040 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |