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NPI Code Detail

MEDICARE: HOME CARE MEDICAL EQUIPMENT LLC

MEDICARE: HOME CARE MEDICAL EQUIPMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies03422/11.1MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669483574
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CARE MEDICAL EQUIPMENT LLC
Provider Business Mailing Address
First Line : 614 ALCORN DR
Second Line :
City : CORINTH
State : MS
Zip : 38834-9393
Country : US
Telephone Number : 662-287-6405
Fax Number : 662-286-5898
Provider Business Practice Location Address
First Line : 614 ALCORN DR
Second Line :
City : CORINTH
State : MS
Zip : 38834-9393
Country : US
Telephone Number : 662-287-6405
Fax Number : 662-286-5898
Authorized Official
Title or Position : OWNER
Name : MRS. DUSTY D KYLE
Credential :
Telephone Number : 662-287-6405
Provider Enumeration Date : 08/10/2006
Last Update Date : 04/13/2012

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Directions to “HOME CARE MEDICAL EQUIPMENT LLC ” Practice Location

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