Provider Demographics
NPI:1386048528
Name:HEMOWEAR, LLC
Entity type:Organization
Organization Name:HEMOWEAR, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DECAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-836-4366
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:OR
Mailing Address - Zip Code:97620-0036
Mailing Address - Country:US
Mailing Address - Phone:888-836-4366
Mailing Address - Fax:
Practice Address - Street 1:1 HWY 140 E # 20952
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:OR
Practice Address - Zip Code:97620-9700
Practice Address - Country:US
Practice Address - Phone:888-836-4366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies