Provider Demographics
NPI:1154640605
Name:FEELING GREAT, INC.
Entity Type:Organization
Organization Name:FEELING GREAT, INC.
Other - Org Name:SECOND BREATH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:WATSON
Authorized Official - Last Name:WRIGHTENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:919-477-1588
Mailing Address - Street 1:4111 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2153
Mailing Address - Country:US
Mailing Address - Phone:919-477-1588
Mailing Address - Fax:919-477-1688
Practice Address - Street 1:4111 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2153
Practice Address - Country:US
Practice Address - Phone:919-477-1588
Practice Address - Fax:919-477-1688
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEELING GREAT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC600331952332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC045N5OtherBCBS
NC7703407Medicaid
NC045N5OtherBCBS