Organization
AVRITT MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN DELL HYDE (VP)
(662) 843-7007
Entity
Organization
Contact information
Practice address
208 E BAKER ST, INDIANOLA, MS 38751-2404
(662) 887-4055
(662) 884-0888
Mailing address
4020 HIGHWAY 8, CLEVELAND, MS 38732-8551
(662) 843-7007
(662) 843-7071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06166/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07153834
—
MS
Enumeration date
06/21/2005
Last updated
07/18/2023
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