Provider Demographics
NPI:1609192293
Name:JANUS DEVELOPMENT GROUP, INC.
Entity Type:Organization
Organization Name:JANUS DEVELOPMENT GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:866-551-9042
Mailing Address - Street 1:112 STATON RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6549
Mailing Address - Country:US
Mailing Address - Phone:866-551-9042
Mailing Address - Fax:252-413-0950
Practice Address - Street 1:112 STATON RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6549
Practice Address - Country:US
Practice Address - Phone:866-551-9042
Practice Address - Fax:252-413-0950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies