Organization
SENIORS MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA YVETTE JENNINGS (OWNER)
(662) 756-0236
Entity
Organization
Contact information
Practice address
122 S RUBY AVE, RULEVILLE, MS 38771-3944
(662) 756-0236
(662) 756-0237
Mailing address
PO BOX 648, RULEVILLE, MS 38771-0648
(662) 756-0236
(662) 756-0237
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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