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Organization
ACTIVE HEALTHCARE, INC.
Active
Organization
ACTIVE HEALTHCARE, INC.
Active
Parent organization
ACTIVE HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE HEALTHCARE, INC.
Authorized official
STEVEN FEIERSTEIN (CFO)
(919) 870-8600
Entity
Organization
Contact information
Practice address
9104 FALLS OF NEUSE RD STE 100, RALEIGH, NC 27615-2494
(919) 870-1551
(919) 645-0020
Mailing address
9104 FALLS OF NEUSE RD STE 100, RALEIGH, NC 27615-2494
(919) 870-8600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700598
—
NC
Enumeration date
03/13/2019
Last updated
01/06/2020
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