Organization
GERICARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH W JONES JR. (PRESIDENT & OWNER)
(251) 743-3844
Entity
Organization
Contact information
Practice address
521 WHETSTONE ST, MONROEVILLE, AL 36460-2615
(251) 743-3844
(251) 743-2495
Mailing address
521 WHETSTONE ST, MONROEVILLE, AL 36460-2615
(251) 743-3844
(251) 743-2495
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054498
—
AL
01
—
15230B001
UNITED MINE WORKERS
—
Enumeration date
05/08/2006
Last updated
12/20/2013
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