MEDICARE: COMPLETE HOME CARE 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	30739	MS

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	:	1578560371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HOME CARE INC

Provider Business Mailing Address
First Line	:	3207 MULLINS DR
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-8571
Country	:	US
Telephone Number	:	662-286-3700
Fax Number	:	662-286-3343

Provider Business Practice Location Address
First Line	:	3207 MULLINS DR
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-8571
Country	:	US
Telephone Number	:	662-286-3700
Fax Number	:	662-286-3343

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHARLES GREGORY QUINN
Credential	:
Telephone Number	:	662-286-3700

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/29/2012

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Directions to “COMPLETE HOME CARE INC ” Practice Location

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