| Organization Name: | BURNHAM'S VITAL CARE LLC |
| NPI Number: | 1174693105 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALVIN CRAIG SARTIN (PRESIDENT) |
| Mailing Address: | 4931 Main St # B Moss Point |
| State: | MS US |
| Postal Code: | 395632746 |
| Phone Number: | 2284744663 |
| Fax Number: | 2284747660 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 12/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 05113021 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |