Organization
EZ RYDER KREATIVE MOBILE LIFESTYLES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANITA W BAREFOOT (PRESIDENT)
(910) 904-1700
Entity
Organization
Contact information
Practice address
10302 FAYETTEVILLE RD, FAYETTEVILLE, NC 28304-9133
(910) 904-1700
(910) 904-6800
Mailing address
10302 FAYETTEVILLE RD, FAYETTEVILLE, NC 28304-9133
(910) 904-1700
(910) 904-6800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00349
NC
332BC3200X
Customized Equipment (DME)
Primary
00349
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702047
—
NC
Enumeration date
02/23/2006
Last updated
09/11/2025
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