Provider Demographics
NPI:1831397256
Name:E GRAM SOULTIONS INC
Entity type:Organization
Organization Name:E GRAM SOULTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, CCC-SLP
Authorized Official - Phone:919-606-4559
Mailing Address - Street 1:4315 LUDGATE ST # C
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2460
Mailing Address - Country:US
Mailing Address - Phone:910-738-1066
Mailing Address - Fax:910-739-7657
Practice Address - Street 1:4315 LUDGATE ST # C
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2460
Practice Address - Country:US
Practice Address - Phone:910-738-1066
Practice Address - Fax:910-739-7657
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:E GRAM SOLUTIONS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-06
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
01287OtherNC