Organization
M.G.R. HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH A BENNETT JR. (MANAGER)
(770) 228-6371
Entity
Organization
Contact information
Practice address
1012 MEMORIAL DR, STE. 4, GRIFFIN, GA 30223-4411
(770) 228-6371
(770) 229-5443
Mailing address
1012 MEMORIAL DR, STE. 4, GRIFFIN, GA 30223-4411
(770) 228-6371
(770) 229-5443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000187778A
—
GA
Enumeration date
12/13/2005
Last updated
04/04/2017
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