Organization
CAROLINA VITAL CARE, INC.
Active
Other names
CVC Home Medical, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY A. STANLEY IV (CHIEF OPERATING OFFICER)
(252) 726-3556
Entity
Organization
Contact information
Practice address
706 W CORBETT AVE, SUITE B, SWANSBORO, NC 28584-8452
(910) 326-7948
(910) 326-5480
Mailing address
PO BOX 961, SWANSBORO, NC 28584-0961
(910) 326-7948
(910) 326-5480
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HC1403
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
HC1403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675512
—
NC
01
—
3413488
NABP
—
Enumeration date
05/31/2005
Last updated
10/09/2009
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