Organization
FAUVERGUE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY JANE FAUVERGUE RN (PRESIDENT)
(317) 847-3959
Entity
Organization
Contact information
Practice address
359 E MORGAN ST, MARTINSVILLE, IN 46151-4529
(765) 349-7246
Mailing address
359 E MORGAN ST, MARTINSVILLE, IN 46151-4529
(765) 349-7246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28137587A
IN
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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