Organization
LONG BEACH PASS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MILNER (OWNER)
(228) 217-4321
Entity
Organization
Contact information
Practice address
4476 PIERCE RD, DIBERVILLE, MS 39540-3404
(228) 217-4321
(228) 396-1115
Mailing address
4476 PIERCE RD, DIBERVILLE, MS 39540-3404
(228) 217-4321
(228) 396-1115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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