Organization
WHITE MATTRESS CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAREL D. DEVENPORT (PROPRIETOR)
(575) 624-1000
Entity
Organization
Contact information
Practice address
1010 S MAIN ST, SUITE 2, ROSWELL, NM 88203-5634
(575) 624-1000
(575) 623-2000
Mailing address
1010 S MAIN ST, SUITE 2, ROSWELL, NM 88203-5634
(575) 624-1000
(575) 623-2000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01-134826-00-7
NM
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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