Provider Demographics
NPI:1285684498
Name:ONDREA DIGNITY PRODUCTS
Entity type:Organization
Organization Name:ONDREA DIGNITY PRODUCTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ONDREA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MEREDITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-760-4333
Mailing Address - Street 1:PO BOX 24574
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27114-4574
Mailing Address - Country:US
Mailing Address - Phone:336-760-4333
Mailing Address - Fax:336-760-1433
Practice Address - Street 1:DIGNITY PRODUCTS - APPEARANCE BOUTIQUE
Practice Address - Street 2:2ND FLOOR MEDICAL CENTER BLVD.
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-713-6990
Practice Address - Fax:336-713-6991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704209Medicaid
NC7703374Medicaid
NC1232850003Medicare NSC