Organization
CANYON HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS HENRY (MANAGING MEMBER)
(844) 241-1444
Entity
Organization
Contact information
Practice address
165 W SOUTH ST, SUITE 208, HERNANDO, MS 38632-2265
(844) 241-1444
(888) 891-3929
Mailing address
165 W SOUTH ST, SUITE 208, HERNANDO, MS 38632-2265
(844) 241-1444
(888) 891-3929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/08/2014
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