Organization
HOME MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY NERON (PRESIDENT)
(228) 363-0500
Entity
Organization
Contact information
Practice address
1403 S MAIN ST, SUITE B2, POPLARVILLE, MS 39470-3394
(601) 795-6863
(601) 795-6864
Mailing address
PO BOX 1633, OCEAN SPRINGS, MS 39566-1633
(601) 795-6863
(601) 795-6864
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440617
—
MS
05
—
1624691
—
LA
Enumeration date
03/22/2007
Last updated
08/22/2020
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