Organization
GULF COAST REHAB EQUIPMENT INC
Active
Other names
Numotion
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER JOHNSON (CREDENTIALING AND LICENSURE MANAGER)
(314) 447-7515
Entity
Organization
Contact information
Practice address
500 CAMPBELL LOOP, STE 120, HATTIESBURG, MS 39401-3045
(601) 602-2906
(601) 602-2977
Mailing address
805 BROOK ST STE 402, ROCKY HILL, CT 06067-3431
(314) 447-7500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
13436
MS
Other
Enumeration date
09/27/2006
Last updated
05/12/2023
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