Organization
AFFINITY HOME MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS O'GWYNN (PRESIDENT)
(251) 666-2002
Entity
Organization
Contact information
Practice address
724 LAKESIDE DR, MOBILE, AL 36693-5112
(251) 666-2002
(251) 666-2202
Mailing address
724 LAKESIDE DR, MOBILE, AL 36693-5112
(251) 666-2002
(251) 666-2202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
436
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911385
—
AL
Enumeration date
08/16/2006
Last updated
10/29/2007
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