Southern Home Respiratory Care, Inc.

NPI #1740285543 in Macon, Georgia

Provider Information

NPI Number: 1740285543
Entity Type: Organization
Organization Name: Southern Home Respiratory Care, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN SLEEP TECHNOLOGIES INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jun 17, 2005
Last Updated: Oct 20, 2008

Practice Location

Address: 215 SHERATON BLVD STE B
City: Macon
State: Georgia
ZIP Code: 31210-1359
Phone: (478) 757-0759

Authorized Official

Name: MARK SHANE MOBLEY, RRT, PSGT
Title: CEO
Phone: (478) 757-0759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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