Organization
DIVINE MEDICAL EQUIPMENT SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN IFEANYI IROEGBU PRESIDENT (PRESIDENT)
(919) 881-8068
Entity
Organization
Contact information
Practice address
1001 NAVAHO DR, SUITE 203-B, RALEIGH, NC 27609-7335
(919) 881-8068
(919) 881-8316
Mailing address
1001 NAVAHO DR, SUITE 203-B, RALEIGH, NC 27609-7335
(919) 881-8068
(919) 881-8316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01191
NC
Other
Enumeration date
11/02/2006
Last updated
08/06/2008
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