| Organization Name: | CDS HOME CARE, INC |
| NPI Number: | 1225004948 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REAGAN LINDSAY BROWN (PHARMACIST) |
| Mailing Address: | 119 Bobo Dr Crystal Springs |
| State: | MS US |
| Postal Code: | 39059 |
| Phone Number: | 6018929988 |
| Fax Number: | 6018929983 |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 04960/02.2 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |