Organization
UNDIES FOR LESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LILLIE M. POOLE CFBF (MANAGER)
(704) 838-0065
Entity
Organization
Contact information
Practice address
120 EAST BROAD ST, UNDIES FOR LESS, STATESVILLE, NC 28677
(704) 838-0065
(704) 881-0234
Mailing address
120 EAST BROAD ST, STATESVILLE, NC 28677
(704) 838-0065
(704) 881-0234
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0700001749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703542
—
NC
05
—
9119965
—
VA
Enumeration date
01/29/2007
Last updated
07/30/2008
Update your record
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