Organization
MOUNTAIN HOME CARE EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM RHODES (CO-OWNER)
(706) 635-4494
Entity
Organization
Contact information
Practice address
200 INDUSTRIAL BLVD STE 113, ELLIJAY, GA 30540-3721
(706) 635-4494
(706) 635-3910
Mailing address
PO BOX 675, ELLIJAY, GA 30540-0009
(706) 635-4494
(706) 635-3910
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00319503A
—
GA
01
—
1669435715
NPI
GA
Enumeration date
03/16/2007
Last updated
08/22/2020
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