Organization Name: | BRENTON MANAGEMENT GROUP INC |
NPI Number: | 1669634721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENTON BLAKE BYRD (OWNER) |
Mailing Address: | 203 Chauncey Town Road Lake Waccamaw |
State: | NC US |
Postal Code: | 284502003 |
Phone Number: | 9106410600 |
Fax Number: | 9106410606 |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |