Organization
PHYSICIAN'S SOURCE HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAWN MARIE HOWELL (MANAGER)
(251) 533-2269
Entity
Organization
Contact information
Practice address
305 BELLE CHASE CT. N, FAIRHOPE, AL 36532
(251) 533-2269
Mailing address
305 BELLE CHASE CT N, FAIRHOPE, AL 36532-3842
(251) 533-2269
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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