Organization
JORDON ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN JORDON RRT, RCP (PRESIDENT)
(336) 315-5394
Entity
Organization
Contact information
Practice address
2100 FAIRFAX RD, SUITE 117, GREENSBORO, NC 27407-3009
(336) 315-5394
Mailing address
PO BOX 7100, GREENSBORO, NC 27417-0100
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00593
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701562
—
NC
Enumeration date
12/28/2006
Last updated
01/28/2008
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