Organization
MEDCARE HOSPITALITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEIJI KIMBALL (PRESIDENT/CEO)
(919) 479-9777
Entity
Organization
Contact information
Practice address
10910 S LOWELL RD, BAHAMA, NC 27503-8799
(919) 479-9777
Mailing address
PO BOX 356, BAHAMA, NC 27503-0356
(919) 479-9777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/18/2010
Last updated
01/25/2011
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