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HOME FRONT PUMPS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIJAY KAILAS BRIHMADESAM (PRESIDENT)
(617) 681-4141
Entity
Organization

Contact information

Practice address
124 UNIONVILLE INDIAN TRAIL RD W STE A4, INDIAN TRAIL, NC 28079-5592
(704) 286-9918
Mailing address
124 UNIONVILLE INDIAN TRAIL RD W STE A4, INDIAN TRAIL, NC 28079-5592

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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