Organization
ATTENTIVE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMMARA GARDENIA HASTY (CEO)
(205) 218-1906
Entity
Organization
Contact information
Practice address
12925 HIGHWAY 601 STE 100, MIDLAND, NC 28107-9536
(205) 218-1906
Mailing address
11760 GLENWOOD DR, LOCUST, NC 28097-7707
(205) 218-1906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
07/04/2023
Last updated
10/29/2024
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