| Organization Name: | IV AT HOME INC. |
| NPI Number: | 1386778595 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT E GRISHAM (PRESIDENT) |
| Mailing Address: | 119 Ward St S Senatobia |
| State: | MS US |
| Postal Code: | 386682638 |
| Phone Number: | 6625627007 |
| Fax Number: | 6625628009 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 0409111.1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |