Organization
FAMILY HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE BYRD C. PED, CMF (OWNER)
(812) 582-0656
Entity
Organization
Contact information
Practice address
397 S US HIGHWAY 231, JASPER, IN 47546-3299
(812) 482-6922
(812) 482-6923
Mailing address
397 S US HIGHWAY 231, JASPER, IN 47546-3299
(812) 482-6922
(812) 482-6923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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