Gulf Coast Rehab Equipment INC
NPI #1336230036 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1336230036
- Entity Type
- Organization
- Organization Name
- Gulf Coast Rehab Equipment INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Sep 27, 2006
- Last Updated
- May 12, 2023
Practice Location
- Address
- 500 CAMPBELL LOOP
- Address 2
- STE 120
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-3045
- Phone
- (601) 602-2906
Authorized Official
- Name
- WALTER JOHNSON
- Title
- CREDENTIALING AND LICENSURE MANAGER
- Phone
- (314) 447-7515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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