Organization
CAMEO COTTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE H EFIRD (OWNER)
(704) 982-6377
Entity
Organization
Contact information
Practice address
1108 N 2ND ST, ALBEMARLE, NC 28001-2822
(704) 982-6377
Mailing address
PO BOX 204, ALBEMARLE, NC 28002-0204
(704) 982-6377
(704) 986-6250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04387
BCBS
—
05
—
7703067
—
NC
Enumeration date
12/22/2005
Last updated
05/20/2011
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