# NATCHEZ HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699337980
- **Authorized official:** RANDOLPH MCEWEN (CEO)
- **Authorized official phone:** (813) 765-7651

## Contact information

- **Practice address:** 7042 W HILLSBOROUGH AVE, TAMPA, FL 33634-4948
- **Practice address phone:** (813) 765-7651
- **Mailing address:** 6802 W HILLSBOROUGH AVE STE 12, TAMPA, FL 33634-5004
- **Mailing address phone:** (813) 765-7651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 07/08/2019