At Home Medical Supply
NPI #1164877379 in Port Gibson, Mississippi
Provider Information
- NPI Number
- 1164877379
- Entity Type
- Organization
- Organization Name
- At Home Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 26, 2016
- Last Updated
- Apr 26, 2016
Practice Location
- Address
- 306 CHURCH ST
- City
- Port Gibson
- State
- Mississippi
- ZIP Code
- 39150-2108
- Phone
- (601) 437-3524
Authorized Official
- Name
- JEANETTE FELTON
- Title
- CEO
- Phone
- (601) 437-3524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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