Organization
DAVIE MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA L WHEELER (OWNER)
(870) 425-0257
Entity
Organization
Contact information
Practice address
1101 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3315
(870) 425-0257
(870) 425-2057
Mailing address
PO BOX 2460, MOUNTAIN HOME, AR 72654-2460
(870) 425-0257
(870) 425-2057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00789
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163131716
—
AR
05
—
626318307
—
MO
Enumeration date
02/05/2007
Last updated
12/27/2019
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