Organization
RUCKER HOLDINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESA DARAH (PRESIDENT)
(912) 877-3202
Entity
Organization
Contact information
Practice address
522 ELMA G MILES PKWY STE B, HINESVILLE, GA 31313-4021
(912) 877-3202
(912) 877-3206
Mailing address
481 ELMA G MILES PKWY STE B, HINESVILLE, GA 31313-4004
(912) 877-3202
(912) 877-3206
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
12/11/2023
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