Organization
COMPLETE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LARRY QUINN (OWNER)
(662) 862-7828
Entity
Organization
Contact information
Practice address
709 S ADAMS ST, FULTON, MS 38843-4404
(662) 862-7828
(662) 862-7294
Mailing address
709 S ADAMS ST, FULTON, MS 38843-4404
(662) 862-7828
(662) 862-7294
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040212
—
MS
Enumeration date
01/26/2006
Last updated
08/22/2020
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