Provider Demographics
NPI:1194708727
Name:ONDREA DIGNITY PRODUCTS INC.
Entity type:Organization
Organization Name:ONDREA DIGNITY PRODUCTS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CROMITY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-760-4333
Mailing Address - Street 1:2200 SILAS CREEK PKWY STE 1A
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5000
Mailing Address - Country:US
Mailing Address - Phone:336-760-4333
Mailing Address - Fax:336-760-1433
Practice Address - Street 1:2200 SILAS CREEK PKWY STE 1A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5000
Practice Address - Country:US
Practice Address - Phone:336-760-4333
Practice Address - Fax:336-760-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703374Medicaid
NC7703374Medicaid