Organization
HEALTHMARK HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JONES SURRETT (ADMINISTRATIVE TECH)
(334) 418-0085
Entity
Organization
Contact information
Practice address
2918 CITIZENS PKWY, SELMA, AL 36701
(334) 418-0085
(334) 418-4719
Mailing address
PO BOX 853, SELMA, AL 36702-0853
(334) 418-0085
(334) 418-4719
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009710160
—
AL
Enumeration date
08/02/2006
Last updated
07/24/2013
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