MEDICARE: WALKER HOMECARE, 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

General Provider Information

NPI Number	:	1386627123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER HOMECARE, INC

Provider Business Mailing Address
First Line	:	1120 FRANKLIN ST
Second Line	:
City	:	LEXINGTON
State	:	MO
Zip	:	64067-1336
Country	:	US
Telephone Number	:	669-259-6222
Fax Number	:	660-259-3774

Provider Business Practice Location Address
First Line	:	1120 FRANKLIN ST
Second Line	:
City	:	LEXINGTON
State	:	MO
Zip	:	64067-1336
Country	:	US
Telephone Number	:	669-259-6222
Fax Number	:	660-259-3774

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREGORY EUGENE MITCHELL
Credential	:	PHARM.D.
Telephone Number	:	660-259-6222

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	08/22/2020

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Directions to “WALKER HOMECARE, INC ” Practice Location

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