Organization
HOME DELIVERY INCONTINENT SUPPLIES CO INC
Active
Parent organization
JOURNEY DPC CORP
Other names
HDIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOURNEY DPC CORP
Authorized official
BRAD GOODWIN (PRESIDENT)
(314) 997-8771
Entity
Organization
Contact information
Practice address
4613 PARKWAY DR, SUITE A, TEXARKANA, AR 71854-1142
(800) 367-8360
Mailing address
9385 DIELMAN INDUSTRIAL DR, OLIVETTE, MO 63132-2214
(314) 997-8771
(314) 997-0997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330741501
—
TX
05
—
330741502
—
TX
05
—
330741503
—
TX
Enumeration date
03/13/2013
Last updated
04/23/2025
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