Organization
CENTRAL LOUSIANA HOME OXYGEN, INC.
Active
Other names
Central Home Oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE GARNER III (OWNER)
(662) 578-7641
Entity
Organization
Contact information
Practice address
577 CUTTING HORSE LANE, BATESVILLE, MS 38606
(662) 578-7641
(662) 578-2124
Mailing address
314 CUTTING HORSE LN, BATESVILLE, MS 38606-6214
(662) 578-7641
(662) 578-2124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
04750/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440628
—
MS
05
—
139110716
—
AR
Enumeration date
09/16/2006
Last updated
01/24/2011
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