Organization Name: | MID-DELTA DURABLE MEDICAL EQUIPMENT |
NPI Number: | 1922023860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLARA T. REED (CEO) |
Mailing Address: | 15982 Hwy 49 Belzoni |
State: | MS US |
Postal Code: | 39038 |
Phone Number: | 6622473660 |
Fax Number: | 6622473884 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 04739/11.1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |