Organization
MRS HOMECARE, INC.
Active
Other names
MRS OF FITZGERALD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E THOMAS RIDDLE (PRESIDENT)
(229) 439-2403
Entity
Organization
Contact information
Practice address
104 NORMAN DORMINY DR, FITZGERALD, GA 31750-8858
(229) 423-4545
(229) 423-8610
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
—
000238697H
—
GA
Enumeration date
06/01/2005
Last updated
05/09/2012
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