Organization
MED-PRO HOME HEALTH SUPPLY AND
Active
Other names
Medical Products
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE JOEL MCCAFFERTY (OWNER)
(662) 837-0950
Entity
Organization
Contact information
Practice address
205 S MAIN ST, RIPLEY, MS 38663-2032
(662) 837-0950
(662) 837-0951
Mailing address
205 S MAIN ST, RIPLEY, MS 38663-2032
(662) 837-0950
(662) 837-0951
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
03816 / 11.1
MS
Other
Enumeration date
10/04/2006
Last updated
04/20/2008
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