Organization
SPIROCARE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL BRETT STOUTE (CHIEF COMPLIANCE OFFICER)
(337) 500-1977
Entity
Organization
Contact information
Practice address
3325 ASPEN GROVE DR STE 104, FRANKLIN, TN 37067-2905
(615) 905-8808
(615) 823-3202
Mailing address
PO BOX 878, JACKSON, TN 38302-0878
(731) 660-0084
(731) 660-6215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
674
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
674
STATE LICENSE
TN
Enumeration date
08/15/2005
Last updated
05/17/2024
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