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Organization

SELECT HOME CARE & DIABETIC SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD JACKSON (PRES)
(980) 229-0117
Entity
Organization

Contact information

Practice address
7505 CARIBOU CT, 7505 CARIBOU CT, CHARLOTTE, NC 28273-9604
(980) 229-0117
Mailing address
7505 CARIBOU CT, CHARLOTTE, NC 28273-9604
(980) 229-0117

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/08/2010
Last updated
11/08/2010
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