Provider Demographics
NPI:1912879768
Name:CLOSURE MOBILE WOUND CARE PLLC
Entity type:Organization
Organization Name:CLOSURE MOBILE WOUND CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:COLDEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:O'DELL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:828-305-4738
Mailing Address - Street 1:555 HENRY RUFF RD
Mailing Address - Street 2:555 HENRY RUFF RD
Mailing Address - City:MILL SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:28756-5650
Mailing Address - Country:US
Mailing Address - Phone:828-305-4738
Mailing Address - Fax:
Practice Address - Street 1:555 HENRY RUFF RD
Practice Address - Street 2:555 HENRY RUFF RD
Practice Address - City:MILL SPRING
Practice Address - State:NC
Practice Address - Zip Code:28756-5650
Practice Address - Country:US
Practice Address - Phone:828-305-4738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty