Organization
HYDECO LLC
Active
Other names
North American Diabetic Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L HYDE (MEMBER)
(662) 241-0056
Entity
Organization
Contact information
Practice address
910 TUSCALOOSA RD, SUITE 3, COLUMBUS, MS 39702-1616
(662) 241-0056
(662) 241-0037
Mailing address
6958 HIGHWAY 50 E, COLUMBUS, MS 39702-9589
(662) 241-0056
(662) 241-0037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00686866
—
MS
Enumeration date
04/11/2007
Last updated
12/17/2008
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