Organization
JABEZ HOME INFUSION COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA PATTEN COWART CPHT (OFFICE MANAGER)
(252) 758-9304
Entity
Organization
Contact information
Practice address
2495 HEMBY LN, SUITE B, GREENVILLE, NC 27834-3771
(252) 758-9304
(252) 758-6904
Mailing address
2495 HEMBY LN, SUITE B, GREENVILLE, NC 27834-3771
(252) 758-9304
(252) 758-6904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
08132
NC
3336H0001X
Home Infusion Therapy Pharmacy
Primary
08132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007CM
BCBSNC
NC
01
—
046JV
BCBSNC
NC
01
—
046JW
BCBSNC
NC
05
—
0745929
—
NC
05
—
6800458
—
NC
05
—
7703685
—
NC
Enumeration date
08/07/2007
Last updated
10/27/2007
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