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Grenada Lake Medical Center Dme
Durable Medical Equipment & Medical Supplies in Grenada, Mississippi
NPI 1295700011

Grenada Lake Medical Center Dme is a Durable Medical Equipment & Medical Supplies based in Grenada, MS. Grenada Lake Medical Center Dme practices in Grenada, MS. The NPI Number for Grenada Lake Medical Center Dme is 1295700011 and holds a License No. 11245 (Mississippi).

The current practice location address for Grenada Lake Medical Center Dme is 960 Avent Dr, Grenada, MS and can be reached out via phone at 662-227-7000 and via fax at 662-227-7534.

Location: 960 Avent Dr, Grenada, MS, 38901-5230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295700011
Provider Name
Grenada Lake Medical Center Dme
Credential
Provider Entity Type
Organization
Address
960 Avent Dr, Grenada, MS, 38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00440637 05 MS
institution
Provider Business Practice Location Address Details
Address
960 Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
person
Provider Business Mailing Address Details
Address
960 Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
11245 (Mississippi)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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