Healthcare Provider Details

I. General information

NPI: 1083751929
Provider Name (Legal Business Name): MCVAYS HOME CARE RENTAL & SALE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 HWY 43
GROVE HILL AL
36451
US

IV. Provider business mailing address

PO BOX 911
GROVE HILL AL
36451
US

V. Phone/Fax

Practice location:
  • Phone: 251-275-3964
  • Fax: 251-275-4310
Mailing address:
  • Phone: 251-275-3964
  • Fax: 251-275-4310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALICE P MCJAY
Title or Position: OWNER
Credential:
Phone: 251-275-3964