Healthcare Provider Details
I. General information
NPI: 1154640605
Provider Name (Legal Business Name): FEELING GREAT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2010
Last Update Date: 05/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4111 CAPITOL ST
DURHAM NC
27704-2153
US
IV. Provider business mailing address
4111 CAPITOL ST
DURHAM NC
27704-2153
US
V. Phone/Fax
- Phone: 919-477-1588
- Fax: 919-477-1688
- Phone: 919-477-1588
- Fax: 919-477-1688
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 600331952 |
| License Number State | NC |
VIII. Authorized Official
Name: MRS.
SANDRA
WATSON
WRIGHTENBERRY
Title or Position: OWNER
Credential: RRT
Phone: 919-477-1588