Organization
HOST MANAGEMENT COMPANY, INC.
Active
Other names
Wolf Medical
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY SINCLAIR COLVER (PRESIDENT)
(770) 778-2431
Entity
Organization
Contact information
Practice address
1093 MEADOW BROOK DR, WOODSTOCK, GA 30188-6563
(770) 778-2431
(706) 233-8277
Mailing address
1093 MEADOW BROOK DR, WOODSTOCK, GA 30188-6563
(770) 778-2431
(706) 233-8277
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
301083553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000900699A
—
GA
Enumeration date
06/28/2005
Last updated
08/23/2013
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