Provider Demographics
NPI:1073837860
Name:DIAPERS UNLIMITED, LLC.
Entity Type:Organization
Organization Name:DIAPERS UNLIMITED, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-917-1294
Mailing Address - Street 1:55 SHOEMAKER LN
Mailing Address - Street 2:
Mailing Address - City:RIDGEWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29130-7651
Mailing Address - Country:US
Mailing Address - Phone:800-245-4092
Mailing Address - Fax:803-337-3251
Practice Address - Street 1:11049 WILSON BLVD
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-8749
Practice Address - Country:US
Practice Address - Phone:800-245-4092
Practice Address - Fax:803-337-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC040727696332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies