Organization Name: | HALCYON SUPPLY CO., LLC |
NPI Number: | 1689758401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCIS MCWHORTER FELTHAM (OWNER) |
Mailing Address: | 456 Buncombe St Edgefield |
State: | SC US |
Postal Code: | 298241013 |
Phone Number: | 8036370622 |
Fax Number: | 8036370622 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |