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Organization
MRS HOMECARE, INC.
Active
Organization
MRS HOMECARE, INC.
Active
Other names
MRS OF MOULTRIE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E. THOMAS RIDDLE (PRESIDENT)
(229) 439-2403
Entity
Organization
Contact information
Practice address
2467A S MAIN ST, MOULTRIE, GA 31768-6531
(229) 890-6949
(229) 890-7386
Mailing address
PO BOX 568, ALBANY, GA 31702-0568
(229) 439-2403
(229) 883-8426
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000238697K
—
GA
Enumeration date
05/31/2005
Last updated
05/08/2012
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