Organization
KCS MEDICAL HOME CARE SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISTRA GOPAUL (MEDICAL DIRECTOR)
(770) 716-7678
Entity
Organization
Contact information
Practice address
100 ETOWAH TRACE, FAYETTEVILLE, GA 30214
(770) 716-7678
(770) 716-1814
Mailing address
100 ETOWAH TRACE, FAYETTEVILLE, GA 30214
(770) 716-7678
(770) 716-1814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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