Provider Demographics
NPI:1679009096
Name:MIGUN LIFE INC
Entity Type:Organization
Organization Name:MIGUN LIFE INC
Other - Org Name:MIGUN MEDICAL THERAPY PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-684-1800
Mailing Address - Street 1:63 FLETCHER COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-8628
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:63 FLETCHER COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8628
Practice Address - Country:US
Practice Address - Phone:828-684-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies