Healthcare Provider Details

I. General information

NPI: 1548070014
Provider Name (Legal Business Name): MOBILE WOUND CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 E 7TH ST STE 705
CINCINNATI OH
45202-2488
US

IV. Provider business mailing address

4020 PROGRESSIVE CHURCH RD
PRINCETON NC
27569-8621
US

V. Phone/Fax

Practice location:
  • Phone: 919-429-1901
  • Fax: 888-838-5378
Mailing address:
  • Phone: 919-429-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: APRIL EVANS
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 919-634-7887