Organization
HOMELIFE OXYGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY NEIL FOUST RRT, BPS (CHIEF MANAGER/OWNER)
(901) 373-3503
Entity
Organization
Contact information
Practice address
1675 N SHELBY OAKS DR, SUITE #1, MEMPHIS, TN 38134-7430
(901) 373-3503
(901) 372-3610
Mailing address
13 CYPRESS CRK, MARION, AR 72364-9747
(870) 739-4033
(901) 372-3610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440365
—
MS
05
—
1452198
—
TN
01
—
3016454
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/15/2005
Last updated
08/22/2020
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