Organization
HOME MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN B. WILCOX (OWNER)
(870) 534-4944
Entity
Organization
Contact information
Practice address
7197 SHERIDAN RD STE 110, WHITE HALL, AR 71602-3261
(870) 534-4944
(870) 534-9199
Mailing address
7197 SHERIDAN RD STE 110, WHITE HALL, AR 71602-3261
(870) 534-4944
(870) 534-9199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00734
AR
332BC3200X
Customized Equipment (DME)
MG00734
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
MG00734
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158764716
—
AR
05
—
159100737
—
AR
Enumeration date
03/21/2006
Last updated
09/15/2025
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