Healthcare Provider Details

I. General information

NPI: 1285684498
Provider Name (Legal Business Name): ONDREA DIGNITY PRODUCTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DIGNITY PRODUCTS - APPEARANCE BOUTIQUE 2ND FLOOR MEDICAL CENTER BLVD.
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

PO BOX 24574
WINSTON SALEM NC
27114-4574
US

V. Phone/Fax

Practice location:
  • Phone: 336-713-6990
  • Fax: 336-713-6991
Mailing address:
  • Phone: 336-760-4333
  • Fax: 336-760-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. ONDREA S. MEREDITH
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 336-760-4333