MID-SOUTH HOME CARE SERVICES, LLC
Medical Equipment Supplier Yellow Pages
Dothan, Alabama
Provider NPI: 1174559710
Organization Information:Organization Name: MID-SOUTH HOME CARE SERVICES, LLC
Practice Location:
2740 HEADLAND AVE DOTHAN, AL 36303 US
Tel: 334-792-3200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2740 HEADLAND AVE DOTHAN, AL 36303 US
Tel: 334-792-3200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | ||
N | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
G2 | 515-21704 | AL | 01 |
009909965 | AL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin