Organization
HORIZON HOME RESPIRATORY AND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY CLIFTON MUSTIAN (OWNER/PRESIDENT)
(919) 496-7362
Entity
Organization
Contact information
Practice address
133 S BICKETT BLVD, LOUISBURG, NC 27549-2672
(919) 496-7362
(919) 496-6379
Mailing address
133 S BICKETT BLVD, LOUISBURG, NC 27549-2672
(919) 496-7362
(919) 496-6379
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704572
—
NC
Enumeration date
10/10/2006
Last updated
07/21/2022
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