Rucker Holdings

NPI #1396202495 in Pooler, Georgia

Provider Information

NPI Number: 1396202495
Entity Type: Organization
Organization Name: Rucker Holdings
Subpart: Yes (part of a larger organization)
Parent Organization: RUCKER HOLDING'S, INC.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Feb 25, 2019
Last Updated: Sep 11, 2020

Practice Location

Address: 210 GRAND CENTRAL BLVD
City: Pooler
State: Georgia
ZIP Code: 31322
Phone: (912) 877-3202

Authorized Official

Name: MRS. KRISTINA RUCKER
Title: CEO
Phone: (912) 877-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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