MEDICARE: DRAINVILLE ENTERPRISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	PHARMACE PERMIT 0073	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437158367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRAINVILLE ENTERPRISES

Provider Business Mailing Address
First Line	:	128 VILLAGE LAKE RD
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-1821
Country	:	US
Telephone Number	:	919-663-3554
Fax Number	:	919-663-1866

Provider Business Practice Location Address
First Line	:	128 VILLAGE LAKE RD
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-1821
Country	:	US
Telephone Number	:	919-663-3554
Fax Number	:	919-663-1866

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. BRIAN L. KENT
Credential	:
Telephone Number	:	910-307-3017

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	04/07/2015

Similar Medicare Providers

1407814841 — DR. SUSAN MARIE CAMPEAU DC
Practice Location Address:

110 VILLAGE LAKE RD , SUITE C
SILER CITY, NC
27344-1821

Practice Phone: 919-742-5306
Practice Fax: 919-742-5306

1659381382 — SANDRA ANN WICKHAM LCSW
Practice Location Address:

110 VILLAGE LAKE RD , SILER BUSINESS PARK BLDG#1 SUITE B
SILER CITY, NC
27344-1821

Practice Phone: 919-542-4952
Practice Fax:

1366525420 — MR. JOHN THURMAN MORRISSETT MS, LPC
Practice Location Address:

106 VILLAGE LAKE RD
SILER CITY, NC
27344-1821

Practice Phone: 336-339-4003
Practice Fax: 919-663-0424

1588833164 — CAMPEAU CHIROPRACTIC, PC
Practice Location Address:

110 VILLAGE LAKE RD , SUITE C
SILER CITY, NC
27344-1821

Practice Phone: 919-742-5306
Practice Fax: 919-742-5306

1578733663 — THERAPEUTIC ALTERNATIVES, INC.
Practice Location Address:

106 VILLAGE LAKE RD
SILER CITY, NC
27344-1821

Practice Phone: 919-663-2127
Practice Fax:

1932379922 — THERAPEUTIC ALTERNATIVES, INC.
Practice Location Address:

106 VILLAGE LAKE RD
SILER CITY, NC
27344-1821

Practice Phone: 919-663-2127
Practice Fax:

Directions to “DRAINVILLE ENTERPRISES ” Practice Location

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