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Organization
GULF COAST REHAB EQUIPMENT INC
Active
Organization
GULF COAST REHAB EQUIPMENT INC
Active
Other names
Numotion
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER JOHNSON (CREDENTIALING AND LICENSURE MANAGER)
(314) 447-7515
Entity
Organization
Contact information
Practice address
500 CAMPBELL LOOP, STE 120, HATTIESBURG, MS 39401-3045
(601) 602-2906
(601) 602-2977
Mailing address
805 BROOK ST STE 402, ROCKY HILL, CT 06067-3431
(314) 447-7500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
13436
MS
Other
Enumeration date
09/27/2006
Last updated
05/12/2023
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