Provider Demographics
NPI:1346616935
Name:MADS DME 02256
Entity Type:Organization
Organization Name:MADS DME 02256
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS OWNER
Authorized Official - Phone:910-286-4988
Mailing Address - Street 1:5104A OAK PARK RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3027
Mailing Address - Country:US
Mailing Address - Phone:919-845-5132
Mailing Address - Fax:919-870-0205
Practice Address - Street 1:5104A OAK PARK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-3027
Practice Address - Country:US
Practice Address - Phone:919-845-5132
Practice Address - Fax:919-870-0205
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOTHER'S HELPER HOME HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02256332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies