Organization
DIABETIC HOME DELIVERIES SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRMA M. TAYLOR (OWNER)
(336) 744-1421
Entity
Organization
Contact information
Practice address
1001 S MARSHALL ST BOX 11, SUITE 241, WINSTON SALEM, NC 27101-5852
(336) 744-1421
(336) 723-7591
Mailing address
1001 S MARSHALL ST BOX 11, SUITE 241, WINSTON SALEM, NC 27101-5852
(336) 744-1421
(336) 723-7591
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047A0
BCBS
—
05
—
1164602629
—
VA
05
—
4582455
—
TN
05
—
7704561
—
NC
Enumeration date
11/13/2007
Last updated
02/26/2008
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