Organization
LHC MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYSHANDRA N HARALSON (SPECIAL PROJECTS MANAGER)
(601) 354-7866
Entity
Organization
Contact information
Practice address
5725 HIGHWAY 18 W, JACKSON, MS 39209-9604
(601) 354-7866
(601) 354-6866
Mailing address
PO BOX 880, JACKSON, MS 39205-0880
(601) 354-7866
(601) 354-6866
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1064195
MS
Other
Enumeration date
10/09/2015
Last updated
08/23/2019
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