Organization
M.R.S. HOMECARE. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E TOM RIDDLE (PRESIDENT)
(229) 382-2002
Entity
Organization
Contact information
Practice address
212 HOSPITAL DRIVE STE L, WARNER ROBINS, GA 31088-1232
(478) 922-2889
(478) 922-9120
Mailing address
PO BOX 568, ALBANY, GA 31702-0568
(229) 439-2403
(229) 883-8426
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/20/2012
Last updated
06/04/2013
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