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Organization
SOUTHEAST HOMECARE & RESPIRATORY SERVICES
Active
Organization
SOUTHEAST HOMECARE & RESPIRATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY C. THOMPSON (AREA MANAGER)
(706) 736-3664
Entity
Organization
Contact information
Practice address
2150 CENTRAL AVE, AUGUSTA, GA 30904-6713
(706) 736-7334
Mailing address
PO BOX 2120, EVANS, GA 30809-2120
(706) 736-3664
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00951145A
—
GA
05
—
DE2074
—
SC
Enumeration date
04/04/2006
Last updated
08/25/2010
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