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Organization
GULF STATES MOBILITY AND REHAB LLC
Active
Organization
GULF STATES MOBILITY AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS GEROUX ATP (MAJORITY STOCKHOLDER)
(662) 418-1328
Entity
Organization
Contact information
Practice address
511 ULMAN AVE, BAY ST LOUIS, MS 39520-3524
(504) 251-1492
Mailing address
219 N BEACH BLVD, WAVELAND, MS 39576-4204
(662) 418-1328
(229) 467-8402
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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