Organization
HEALTH CARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE J TOLLEY (PRESIDENT)
(601) 420-0064
Entity
Organization
Contact information
Practice address
371 TOWNE CENTER BLVD, RIDGELAND, MS 39157-4833
(601) 420-0064
(601) 420-0223
Mailing address
371 TOWNE CENTER BLVD, RIDGELAND, MS 39157-4833
(601) 420-0064
(601) 420-0223
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05864 11.1
MS
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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