Organization
HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN E. HUTTO R.PH. (PRESIDENT)
(601) 735-3314
Entity
Organization
Contact information
Practice address
923A WAYNE STREET, WAYNESBORO, MS 39367-2571
(601) 735-3314
(601) 735-5885
Mailing address
923 A WAYNE ST, WAYNESBORO, MS 39367-2571
(601) 735-3314
(601) 735-5885
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
03899/11.1
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
03899/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009982150
—
AL
05
—
04628340
—
MS
Enumeration date
10/24/2006
Last updated
02/03/2012
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