Organization
NORTH DELTA MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND E VALLIER (CEO)
(901) 795-4041
Entity
Organization
Contact information
Practice address
3955 WHITEBROOK DR, SUITE 2, MEMPHIS, TN 38118-3745
(901) 795-4041
(901) 795-4036
Mailing address
3955 WHITEBROOK DRIVE, SUITE 2, MEMPHIS, TN 38118-3727
(901) 795-4041
(901) 795-4036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
216
TN
251G00000X
Community Based Hospice Care Agency
137
MS
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1057
TN
Other
Enumeration date
05/17/2011
Last updated
05/31/2011
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