Organization
DEEP SOUTH HOME MEDICAL EQUIPMENT INC
Active
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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