Individual
JEVETTA R WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8828 BALMORAL PARK DR, CHARLOTTE, NC 28277-1338
(980) 833-2029
(980) 585-4415
Mailing address
PO BOX 49329, CHARLOTTE, NC 28277-0077
(980) 833-2029
(980) 545-4415
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NC
Other
Enumeration date
07/09/2018
Last updated
01/22/2020
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