AMERITA SOUTH ATLANTIC LLC

KINGSPORT, TN
NPI1801436365
Doing Business AsADVANCED HOME INFUSION
Entity TypeOrganization
Authorized ContactMELINDA SILOLAHTI
SVP Managed Care Contracting
720-282-2382
Organization Subpart ?Yes
Primary Taxonomy3336H0001X Pharmacy, Home Infusion Therapy Pharmacy
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition
335G00000X Medical Foods Supplier
Enumeration Date2020-01-13
Last Update Date2024-10-04
Business Address
AMERITA SOUTH ATLANTIC LLC
105 JACK WHITE DR STE B
KINGSPORT, TN 37664-2364
Phone number: 423-378-7350
Mailing Address
AMERITA SOUTH ATLANTIC LLC
6912 S QUENTIN ST STE 50
CENTENNIAL, CO 80112-4531
Phone number: 720-282-5325