# COLLIER HOME MEDICAL LLC

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

## Provider details

- **NPI number:** 1154296689
- **Authorized official:** MR. BRUCE SCOTT MAYS (GM,/MARKETING, BUSINESS DEVELOPMENT)
- **Authorized official phone:** (740) 574-0327

## Contact information

- **Practice address:** 146 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
- **Practice address phone:** (606) 458-1013
- **Practice address fax:** (740) 574-4370
- **Mailing address:** 146 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
- **Mailing address phone:** (606) 458-1013
- **Mailing address fax:** (740) 574-4370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 09/21/2026