At Home Medical Supply Of Tn LLC
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Jackson, TN. Organization (NPI-2).
NPI number1649276270
StatusActive
Last updated in NPPESNov 9, 2007
Details
- NPI
- 1649276270
- Entity type
- Organization (NPI-2)
- Legal business name
- At Home Medical Supply Of Tn LLC
- Organization subpart
- No
- Enumeration date
- Jun 28, 2005
- Last updated
- Nov 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 0000000824 | TN | Yes |
Practice location
86 E Northstar DrSuite E
Jackson, TN 38305
Phone 731-512-1895 · Fax 731-512-1896
Mailing address
86 E Northstar DrSuite E
Jackson, TN 38305
Phone 731-512-1895 · Fax 731-512-1896
Authorized official
Marsha Mcnair
Cfo
9014522395
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