Healthcare Provider Details

I. General information

NPI: 1194426866
Provider Name (Legal Business Name): HOME OXYGEN AND MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 E NORTHSIDE DR
CLINTON MS
39056-3440
US

IV. Provider business mailing address

PO BOX 1395
CLINTON MS
39060-1395
US

V. Phone/Fax

Practice location:
  • Phone: 601-924-8935
  • Fax: 601-924-9127
Mailing address:
  • Phone: 601-924-8935
  • Fax: 601-924-9127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WESLEY A MILEY
Title or Position: PRESIDENT
Credential: RPH
Phone: 601-924-8935