# IV CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tyson HomeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588849145
- **Authorized official:** MRS. SHERRI S. HEATON (OPERATIONS MANAGER)
- **Authorized official phone:** (662) 252-6179

## Contact information

- **Practice address:** 149 A SOUTH MARKET STREET, HOLLY SPRINGS, MS 38635-3238
- **Practice address phone:** (662) 252-3688
- **Practice address fax:** (662) 252-4379
- **Mailing address:** 530 JM ASH DRIVE, HOLLY SPRINGS, MS 38635
- **Mailing address phone:** (662) 252-2446
- **Mailing address fax:** (662) 252-4379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | E06294 | MS | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 07543/11.1 | MS | — |
| 333600000X | Pharmacy | 07543-11-1 | MS | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 03/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03186562 | — | MS |