Organization
MRS HOMECARE, INC.
Active
Other names
MRS OF THOMASVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E THOMAS RIDDLE (PRESIDENT)
(229) 439-2403
Entity
Organization
Contact information
Practice address
717 SMITH AVE, THOMASVILLE, GA 31792-5641
(229) 228-0107
(229) 228-0631
Mailing address
PO BOX 568, ALBANY, GA 31702-0568
(229) 439-2403
(229) 883-8426
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000238697I
—
GA
Enumeration date
05/31/2005
Last updated
05/02/2012
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