Organization
ALL INCLUSIVE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WANDA KATHLEEN PERRETT (OWNER)
(601) 540-6851
Entity
Organization
Contact information
Practice address
931 HIGHWAY 80 W, JACKSON, MS 39204-3912
(601) 540-6851
Mailing address
931 HIGHWAY 80 W, JACKSON, MS 39204-3912
(601) 540-6851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
05952
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03683724
—
MS
Enumeration date
07/25/2008
Last updated
07/25/2008
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