Organization
DEEP SOUTH HOME MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY TODD FLOURNEY (AUTHORIZED OFFICIAL)
(334) 671-9484
Entity
Organization
Contact information
Practice address
229 SUNRISE LANE, MALVERN, AL 36349
(334) 671-0471
Mailing address
2233 E MAIN ST, MONTROSE, CO 81401-3831
(970) 765-0818
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
065560
AL
333600000X
Pharmacy
112249
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009918095
—
AL
Enumeration date
02/27/2006
Last updated
06/18/2019
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