Provider Demographics
NPI:1487479416
Name:EMBRACE MEDICAL SUPPLY AND DME REPAIR LLC
Entity type:Organization
Organization Name:EMBRACE MEDICAL SUPPLY AND DME REPAIR LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:FREIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-918-4545
Mailing Address - Street 1:2542 SOMERSET CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6766
Mailing Address - Country:US
Mailing Address - Phone:336-918-4545
Mailing Address - Fax:
Practice Address - Street 1:2542 SOMERSET CENTER DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6766
Practice Address - Country:US
Practice Address - Phone:336-926-1703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies