Individual provider · Type 1 NPI
Jevetta R. Wade
Durable Medical Equipment & Medical Supplies · Charlotte, NC
Practice location
8828 Balmoral Park Dr
Charlotte, NC 28277-1338
Fax (980) 585-4415
Mailing address
PO Box 49329
Charlotte, NC 28277-0077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | None listed |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | None listed |
| Nursing Facility Supplies (DME) | 332BN1400X | None listed |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | None listed |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1225524671
Jevetta R. Wade's National Provider Identifier is 1225524671, issued on Jul 9, 2018. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 22, 2020.