Organization
DURA-MED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY RAY RPH (PRESIDENT)
(479) 738-1870
Entity
Organization
Contact information
Practice address
720 N GASKILL ST, STE 11, HUNTSVILLE, AR 72740-9104
(479) 738-1870
(479) 738-1091
Mailing address
720 N GASKILL ST, STE 11, HUNTSVILLE, AR 72740
(479) 738-1870
(479) 738-1091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163492716
—
AR
Enumeration date
08/02/2006
Last updated
11/16/2007
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