Organization
MRS HOMECARE, INC.
Active
Other names
MRS OF MACON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E THOMAS RIDDLE (PRESIDENT)
(229) 439-2403
Entity
Organization
Contact information
Practice address
4010 NORTHSIDE DR, UNIT A, MACON, GA 31210-1693
(478) 477-7660
(478) 477-4270
Mailing address
PO BOX 568, ALBANY, GA 31702-0568
(229) 439-2403
(229) 883-8426
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000238697C
—
GA
Enumeration date
05/31/2005
Last updated
07/06/2011
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