Provider Demographics
NPI:1467421867
Name:DIANNE'S SELECTIONS, INCORPORATED
Entity Type:Organization
Organization Name:DIANNE'S SELECTIONS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLCONAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-845-0234
Mailing Address - Street 1:8364 SIX FORKS RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5075
Mailing Address - Country:US
Mailing Address - Phone:919-845-0234
Mailing Address - Fax:919-845-7213
Practice Address - Street 1:8364 SIX FORKS RD
Practice Address - Street 2:SUITE 103
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5075
Practice Address - Country:US
Practice Address - Phone:919-845-0234
Practice Address - Fax:919-845-7213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0433700001Medicare NSC