Organization
BLUE HAVEN MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DJ WOODY (PRES)
(903) 328-7120
Entity
Organization
Contact information
Practice address
19311 W US HIGHWAY 82, SHERMAN, TX 75092-6885
(903) 328-7120
Mailing address
19311 W US HIGHWAY 82, SHERMAN, TX 75092-6885
(903) 328-7120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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