Provider Demographics
NPI:1740426519
Name:MIGUN OF ASHEVILLE, INC.
Entity type:Organization
Organization Name:MIGUN OF ASHEVILLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-684-1800
Mailing Address - Street 1:330 ROCKWOOD RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8216
Mailing Address - Country:US
Mailing Address - Phone:828-684-1800
Mailing Address - Fax:
Practice Address - Street 1:330 ROCKWOOD RD STE 101
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8216
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:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01324332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment