Provider Demographics
NPI:1992855142
Name:DAILY LIVING HOME HEALTH MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:DAILY LIVING HOME HEALTH MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-986-2400
Mailing Address - Street 1:57353 HWY 12 STE A
Mailing Address - Street 2:
Mailing Address - City:HATTERAS
Mailing Address - State:NC
Mailing Address - Zip Code:27943
Mailing Address - Country:US
Mailing Address - Phone:252-986-2400
Mailing Address - Fax:252-986-2905
Practice Address - Street 1:57353 HWY 12 STE A
Practice Address - Street 2:
Practice Address - City:HATTERAS
Practice Address - State:NC
Practice Address - Zip Code:27943
Practice Address - Country:US
Practice Address - Phone:252-986-2400
Practice Address - Fax:252-986-2905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0951170001Medicare ID - Type Unspecified