MEDICARE: SENIOR RESPIRATORY SOLUTIONS, INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	900665	AL

Other Identifiers

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

General Provider Information

NPI Number	:	1306022991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR RESPIRATORY SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	24823 COMMERCIAL AVE
Second Line	:	#4
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-5838
Country	:	US
Telephone Number	:	251-980-2027
Fax Number	:	251-980-2028

Provider Business Practice Location Address
First Line	:	24823 COMMERCIAL AVE
Second Line	:	#4
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-5838
Country	:	US
Telephone Number	:	251-980-2027
Fax Number	:	251-980-2028

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID B MCDONALD
Credential	:
Telephone Number	:	903-794-4386

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	07/24/2008

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