Organization
POPLARVILLE HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARON WALTERS (COOWNER)
(601) 795-6863
Entity
Organization
Contact information
Practice address
1403 S MAIN ST, SUITE B2, POPLARVILLE, MS 39470-3394
(601) 795-6863
(601) 795-6864
Mailing address
PO BOX 946, POPLARVILLE, MS 39470-0946
(601) 795-6863
(601) 795-6864
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
06/02/2011
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