Provider Demographics
NPI:1295054765
Name:FEELING GREAT, INC.
Entity type:Organization
Organization Name:FEELING GREAT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:WATSON
Authorized Official - Last Name:WRIGHTENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:919-477-1588
Mailing Address - Street 1:1161 HUFFMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8862
Mailing Address - Country:US
Mailing Address - Phone:336-584-4388
Mailing Address - Fax:336-584-4588
Practice Address - Street 1:1161 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8862
Practice Address - Country:US
Practice Address - Phone:336-584-4388
Practice Address - Fax:336-584-4588
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEELING GREAT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC600331952332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703407Medicaid
NC045N5OtherBCBS
NC4236670001Medicare NSC