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Organization

RUCKER HOLDINGS

Active
Parent organization
RUCKER HOLDING'S, INC.
Other names
Jones Medical Equipment
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUCKER HOLDING'S, INC.
Authorized official
MRS. KRISTINA RUCKER (CEO)
(912) 877-3202
Entity
Organization

Contact information

Practice address
210 GRAND CENTRAL BLVD, POOLER, GA 31322
(912) 877-3202
Mailing address
481 ELMA G MILES PKWY STE B, HINESVILLE, GA 31313-4004
(912) 877-3202
(912) 877-3206

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003139319A
GA
Enumeration date
02/25/2019
Last updated
09/11/2020
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