Ez Ryder Kreative Mobile Lifestyles Inc

LBN: Ez Ryder Kreative Mobile Lifestyles Inc
Ez Ryder Kreative Mobile Lifestyles Inc is an health care organization with primary practice located at 10302 Fayetteville Rd , Fayetteville NC 28304-9133. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Ez Ryder Kreative Mobile Lifestyles Inc can be contacted via phone (910) 904-1700, or through Barefoot, Juanita W via phone (910) 904-1700.

Contact Information

Primary practice address
10302 Fayetteville Rd Fayetteville NC 28304-9133
Phone: (910) 904-1700
Fax: (910) 904-6800
Website:
Map and Directions
Authorized official contact:
Name: Barefoot, Juanita W
Phone: (910) 904-1700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 00349 North Carolina
Suppliers / Customized Equipment 332BC3200X 00349 North Carolina

Profile Details

NPI number 1518933217
LBN Legal business name Ez Ryder Kreative Mobile Lifestyles Inc
DBA Doing business as
Authorized official Barefoot, Juanita W
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518933217 NPPES
North Carolina MEDICAID 7702047

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