Jevetta R Wade
Jevetta R Wade is a Customized Equipment (DME) in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 7
Practice location Address checks out
8828 Balmoral Park DrCharlotte, NC 28277-1338
Phone: (980) 833-2029
Fax: (980) 585-4415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
| Dialysis Equipment & Supplies (DME) | Taxonomy 332BD1200X |
| Nursing Facility Supplies (DME) | Taxonomy 332BN1400X |
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X (NC) |
Record details
| NPI number | 1225524671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 9, 2018 |
| Last updated in NPPES | January 22, 2020 |
| Certification date | January 22, 2020 |
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