Organization
AT HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE FELTON (CEO)
(601) 437-3524
Entity
Organization
Contact information
Practice address
306 CHURCH ST, PORT GIBSON, MS 39150-2108
(601) 437-3524
Mailing address
5015 I 55 N STE B, JACKSON, MS 39206-4306
(601) 362-3019
(601) 362-0405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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