MEDICARE: RAMANCO, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1609062652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMANCO, INC

Provider Business Mailing Address
First Line	:	PO BOX 1730
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-1730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2231 E MILLBROOK RD STE 121
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-1746
Country	:	US
Telephone Number	:	919-954-9901
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAY O BEDSAUL
Credential	:
Telephone Number	:	336-391-9703

Provider Enumeration Date	:	09/23/2007
Last Update Date	:	09/23/2007

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