Organization
TRI-CITY HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIE DERREK NEVELS (OWNER)
(850) 675-1221
Entity
Organization
Contact information
Practice address
3878 HIGHWAY 4, JAY, FL 32565-1753
(850) 675-1221
(850) 675-1270
Mailing address
3878 HIGHWAY 4, JAY, FL 32565-1753
(850) 675-1221
(850) 675-1270
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312572
FL
Other
Enumeration date
08/19/2005
Last updated
08/22/2020
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