Provider Demographics
NPI:1225366891
Name:GIRAFFE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:GIRAFFE ENTERPRISES, LLC
Other - Org Name:THE PEDIATRIC CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-675-4550
Mailing Address - Street 1:PO BOX 3103
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-0079
Mailing Address - Country:US
Mailing Address - Phone:706-832-2926
Mailing Address - Fax:804-675-0497
Practice Address - Street 1:418 TOWN PARK BLVD
Practice Address - Street 2:STE 1 B
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3471
Practice Address - Country:US
Practice Address - Phone:706-832-2926
Practice Address - Fax:804-675-0497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies