Organization
HOME CARE MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DUSTY D KYLE (OWNER)
(662) 287-6405
Entity
Organization
Contact information
Practice address
614 ALCORN DR, CORINTH, MS 38834-9393
(662) 287-6405
(662) 286-5898
Mailing address
614 ALCORN DR, CORINTH, MS 38834-9393
(662) 287-6405
(662) 286-5898
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03422/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440150
—
MS
Enumeration date
08/10/2006
Last updated
04/13/2012
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