Organization
GRACELAND MANAGEMENT COMPANY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LARRY OVERSTREET (OWNER, PRESIDENT)
(662) 236-3200
Entity
Organization
Contact information
Practice address
1212 ADAMS AVE, OXFORD, MS 38655-3213
(662) 236-3200
(662) 513-0000
Mailing address
1212 ADAMS AVE, OXFORD, MS 38655-3213
(662) 236-3200
(662) 513-0000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0469511
MS
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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