Organization
ENUDA HEALTHSOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALU ORJI KALU (CEO/DIRECTOR)
(919) 787-9294
Entity
Organization
Contact information
Practice address
5106 OAK PARK RD, SUITE A, RALEIGH, NC 27612-3017
(919) 787-9294
Mailing address
5106 OAK PARK RD, SUITE A, RALEIGH, NC 27612-3017
(919) 787-9294
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704211
—
NC
Enumeration date
06/15/2006
Last updated
02/25/2009
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