Organization
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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