Organization
ELISKA CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LEE PUMPHREY PHYSICAL THERAPIST (CEO)
(662) 574-0903
Entity
Organization
Contact information
Practice address
107 HONEYSUCKLE DR, STEENS, MS 39766-8803
(662) 574-0903
Mailing address
107 HONEYSUCKLE DR, STEENS, MS 39766-8803
(662) 574-0903
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MS
332B00000X
Durable Medical Equipment & Medical Supplies
—
MS
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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