Organization
FAMILY HOME MEDICAL EQPT & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE L MANGUM (OWNER PRES)
(256) 820-1449
Entity
Organization
Contact information
Practice address
6512 MCCLELLAN BLVD, ANNISTON, AL 36206
(256) 820-1449
(256) 820-1425
Mailing address
PO BOX 652, WEAVER, AL 36277
(256) 820-1449
(256) 820-1425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51057988
BCBS OF AL
AL
Enumeration date
10/16/2006
Last updated
08/22/2020
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