Organization
EAGLE HOME MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JEFFREY PEEDIN (VICE PRESIDENT SALES)
(252) 537-2400
Entity
Organization
Contact information
Practice address
1016 JULIAN ALLSBRK HWY, ROANOKE RAPIDS, NC 27870-4922
(252) 537-2400
(252) 537-0718
Mailing address
1016 JULIAN ALLSBRK HWY, ROANOKE RAPIDS, NC 27870-4922
(252) 537-2400
(252) 537-0718
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0492N
BLUE CROSS BLUE SHEILD
NC
05
—
7702402
—
NC
Enumeration date
06/01/2006
Last updated
05/08/2008
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