Provider Demographics
NPI:1316293707
Name:FIRST 2 CALL HOME CARE SUPPLY
Entity type:Organization
Organization Name:FIRST 2 CALL HOME CARE SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:864-644-8429
Mailing Address - Street 1:405 E 1ST AVE STE D
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3062
Mailing Address - Country:US
Mailing Address - Phone:864-644-8429
Mailing Address - Fax:864-644-8428
Practice Address - Street 1:405 E 1ST AVE STE D
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3062
Practice Address - Country:US
Practice Address - Phone:864-644-8429
Practice Address - Fax:864-644-8428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition