Organization
MRS HOMECARE, INC.
Active
Other names
MRS OF TIFTON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E THOMAS RIDDLE (PRESIDENT)
(229) 439-2403
Entity
Organization
Contact information
Practice address
1497 KENNEDY RD, TIFTON, GA 31794-4159
(229) 382-2002
(229) 388-1966
Mailing address
PO BOX 568, ALBANY, GA 31702-0568
(229) 439-2403
(229) 883-8426
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000207215A
—
GA
Enumeration date
05/31/2005
Last updated
05/02/2012
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