# CMV HOME MEDICAL SUPPLIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124354576
- **Authorized official:** WILLIAM JEFFERY MONTGOMERY (MEMBER)
- **Authorized official phone:** (573) 333-3784

## Contact information

- **Practice address:** 825 W 3RD ST STE A, CARUTHERSVILLE, MO 63830-1236
- **Practice address phone:** (537) 333-3784
- **Practice address fax:** (573) 333-3785
- **Mailing address:** 825 W 3RD ST STE A, CARUTHERSVILLE, MO 63830-1236
- **Mailing address phone:** (537) 333-3784
- **Mailing address fax:** (573) 333-3785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 2001010194 | MO | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 03/25/2011