Grace Healthcare Dme
NPI #1972814127 in Poplarville, Mississippi
Provider Information
- NPI Number
- 1972814127
- Entity Type
- Organization
- Organization Name
- Grace Healthcare Dme
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 23, 2010
- Last Updated
- Jun 23, 2010
Practice Location
- Address
- 300 HIGHWAY 11
- Address 2
- SUITE D
- City
- Poplarville
- State
- Mississippi
- ZIP Code
- 39470
- Phone
- (601) 240-0001
Authorized Official
- Name
- DAVID J WOLF
- Title
- PRESIDENT
- Phone
- (228) 863-3331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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