Organization
HOME PRIDE MEDICAL SUPPLY CO.
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKE EJIOFOR (MANAGER)
(919) 212-9133
Entity
Organization
Contact information
Practice address
1221 CORPORATION PKWY, 119, RALEIGH, NC 27610-1392
(919) 212-9133
(919) 212-3094
Mailing address
1221 CORPORATION PKWY, 119, RALEIGH, NC 27610-1392
(919) 212-9133
(919) 212-3094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00883
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704369
—
NC
Enumeration date
07/18/2006
Last updated
12/06/2010
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