Organization
MID-STATE INVESTMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI JONES (MANAGER)
(270) 252-0897
Entity
Organization
Contact information
Practice address
837 US HIGHWAY 68 W, BENTON, KY 42025-7418
(270) 252-0897
(270) 252-0899
Mailing address
837 US HIGHWAY 68 W, BENTON, KY 42025-7418
(270) 252-0897
(270) 252-0899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
169528
KY
332BC3200X
Customized Equipment (DME)
169528
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100013200
—
KY
05
—
7100018430
—
KY
Enumeration date
10/01/2007
Last updated
11/08/2017
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