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General NPI Number Information
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NPI Number | 1417057639
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Entity Type | Organization
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Legal Business Name | ULRIKE ENTWISTLE
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 1620 BREVARD RD UNIT 30
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3221
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Country | US
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Telephone | 386-847-2976
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 N DIXIE FWY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-6069
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Country | US
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Telephone | 386-427-6344
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Fax | 386-427-6344
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ULRIKE ENTWISTLE
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Credential | CMF
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Telephone | 386-427-6344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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