Organization
BILL HENRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL HENRY (OWNER)
(864) 201-1404
Entity
Organization
Contact information
Practice address
1252 OVERBROOK DR, 15, GAFFNEY, SC 29341-1057
(864) 487-5584
Mailing address
108 ROYAL DR, GAFFNEY, SC 29340-3669
(864) 201-1404
(864) 487-4570
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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