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Organization
DURABLE MEDICAL EQUIPMENT, INC
Active
Organization
DURABLE MEDICAL EQUIPMENT, INC
Active
Other names
LAGRANGE HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E BECKHAM R.PH. (EXECUTIVE VICE PRESIDENT)
(706) 882-2661
Entity
Organization
Contact information
Practice address
100 MOOTY BRIDGE RD, LAGRANGE, GA 30240-1806
(706) 882-2661
(706) 882-2251
Mailing address
100 MOOTY BRIDGE RD, LAGRANGE, GA 30240-1806
(706) 882-2661
(706) 882-2251
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
C19509
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000924074A
—
GA
Enumeration date
03/23/2006
Last updated
10/09/2009
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