Organization
HOMETOWN OXYGEN CHARLOTTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JARDINA (CEO)
(866) 776-6782
Entity
Organization
Contact information
Practice address
2205 MERCANTILE DR NE, SUITE 2, LELAND, NC 28451
(888) 902-3502
Mailing address
41 SPRING ST., SUITE 103, NEW PROVIDENCE, NJ 07974
(704) 347-2233
(704) 331-4702
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
01117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2779
—
SC
Enumeration date
07/06/2006
Last updated
08/01/2024
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