Healthcare Provider Details

I. General information

NPI: 1124205653
Provider Name (Legal Business Name): DHS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 05/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 HOSPITAL RD
STARKVILLE MS
39759-2164
US

IV. Provider business mailing address

805 S WHEATLEY ST SUITE 600
RIDGELAND MS
39157-5000
US

V. Phone/Fax

Practice location:
  • Phone: 662-324-1799
  • Fax: 662-323-5719
Mailing address:
  • Phone: 601-914-1004
  • Fax: 601-914-0529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number02369/11.1
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number02369/11.1
License Number StateMS

VIII. Authorized Official

Name: MR. FRANCIS HARRISON
Title or Position: OWNER
Credential:
Phone: 601-914-1004