Organization
1ST AMERICA HOME MEDICAL EQUIPMENT
Active
Parent organization
1ST AMERICA HOME MEDICAL EQUIPMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST AMERICA HOME MEDICAL EQUIPMENT
Authorized official
MR. JEFF SIKES RPH (OWNER)
(229) 242-3060
Entity
Organization
Contact information
Practice address
2717 WINDEMERE DR, STE A, VALDOSTA, GA 31602-1686
(229) 242-1000
(229) 242-2120
Mailing address
212 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(229) 242-1000
(229) 242-2120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00339248B
—
GA
05
—
00339248C
—
GA
Enumeration date
10/02/2009
Last updated
11/04/2010
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