Organization
APRIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE MASTROVICH (PRESIDENT & COO)
(949) 639-2000
Entity
Organization
Contact information
Practice address
181 DAVIS JOHNSON DR, RICHLAND, MS 39218-9417
(601) 936-3048
(601) 936-8125
Mailing address
18120 AMMI TRL, HOUSTON, TX 77060-1107
(832) 601-7000
(281) 821-4814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040046
—
MS
Enumeration date
05/21/2007
Last updated
08/22/2020
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