Organization
STARLIGHT MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLEMENSTINE BREAKFIELD (PRESIDENT)
(662) 893-0414
Entity
Organization
Contact information
Practice address
5701 ROMAN HILL DR, OLIVE BRANCH, MS 38654-9437
(662) 893-0414
Mailing address
5701 ROMAN HILL DR, OLIVE BRANCH, MS 38654-9437
(662) 893-0414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/29/2006
Last updated
08/22/2020
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