Organization
EMPIRE GARDEN LYMPHEDEMA SERVICES & PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EARLINE JACKSON CMLDT/L.P.N/L.M.T. (PRESIDENT)
(919) 677-0767
Entity
Organization
Contact information
Practice address
539 KEISLER DR, 204, CARY, NC 27518-9320
(919) 677-0767
(919) 651-9322
Mailing address
539 KEISLER DR, 204, CARY, NC 27518-9320
(919) 677-0767
(919) 651-9322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
71590
NC
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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