Organization
RENT A BOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY MCEACHIN (DIRECTOR)
(336) 865-2010
Entity
Organization
Contact information
Practice address
2740 NEW WALKERTOWN RD, WINSTON SALEM, NC 27105-4818
(336) 865-2010
Mailing address
2806 REYNOLDA RD # 124, WINSTON SALEM, NC 27106-3102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
10/28/2015
Last updated
05/19/2022
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