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Organization
GUM CREEK ENTERPRISES INC
Active
Organization
GUM CREEK ENTERPRISES INC
Active
Other names
Comfacare Home Health Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISA C MASON (MANAGER)
(256) 356-9111
Entity
Organization
Contact information
Practice address
929 4TH ST NW, RED BAY, AL 35582-1250
(256) 356-9111
(256) 356-9111
Mailing address
PO BOX 1250, 929 4TH ST NW, RED BAY, AL 35582-1250
(256) 356-9111
(256) 356-9111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440339
—
MS
05
—
009606550
—
AL
01
—
51031062
BCBS AL
AL
Enumeration date
01/29/2007
Last updated
05/03/2011
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