Organization
FRIENDSHIP-ANGEL DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEOPHILUS EGBUJOR (PRESIDENT/CEO)
(615) 365-4424
Entity
Organization
Contact information
Practice address
325 PLUS PARK BLVD STE 103, NASHVILLE, TN 37217-1032
(615) 365-4424
(615) 365-0998
Mailing address
333 PLUS PARK BLVD, NASHVILLE, TN 37217-1132
(615) 365-4424
(615) 365-0998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000766
TN
332B00000X
Durable Medical Equipment & Medical Supplies
0000766
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000766
HME/DME LICENSE
TN
05
—
1455108
—
TN
01
—
4139952
BCBS OF TN
TN
Enumeration date
09/22/2006
Last updated
08/19/2013
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