Healthcare Provider Details

I. General information

NPI: 1154937134
Provider Name (Legal Business Name): MRS HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 WILLOW CREEK DR
SPRINGDALE AR
72762-0876
US

IV. Provider business mailing address

8201 PETERS RD STE 1000
PLANTATION FL
33324-3266
US

V. Phone/Fax

Practice location:
  • Phone: 954-889-1901
  • Fax: 954-827-0227
Mailing address:
  • Phone: 954-501-4148
  • Fax: 954-827-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE H WOLFE
Title or Position: SECRETARY/TREASURER
Credential: CPA
Phone: 954-889-1901