Organization
HEALTH HORIZONS INC
Active
Other names
Southeastern Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C THOMAS JOHNSON III CPA (VP FINANCE)
(910) 671-5090
Entity
Organization
Contact information
Practice address
2002 N CEDAR ST, STE A, LUMBERTON, NC 28358-3926
(910) 738-3560
Mailing address
2002 N CEDAR ST, STE A, LUMBERTON, NC 28358-3926
(910) 738-3560
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3408786
MEDICAID LIFELINE
NC
05
—
3408786
—
NC
05
—
7700184
—
NC
Enumeration date
11/14/2005
Last updated
09/09/2020
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