Organization Name: | COMPLETE DISPLAY SYSTEMS, INC. |
NPI Number: | 1891164463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES H MCNABB (OWNER) |
Mailing Address: | 5604 Wendy Bagwell Pkwy Suite 811 Hiram |
State: | GA US |
Postal Code: | 301417813 |
Phone Number: | 7704191355 |
Fax Number: | 7704191898 |
NPI Enumeration Date: | 09/24/2015 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 110-R-0589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |