institution
Grace Independent Living Store, Llc
Durable Medical Equipment & Medical Supplies in Ridgeland, Mississippi
NPI 1417450891

Grace Independent Living Store, Llc is a Durable Medical Equipment & Medical Supplies based in Ridgeland, MS. Grace Independent Living Store, Llc practices in Ridgeland, MS. The NPI Number for Grace Independent Living Store, Llc is 1417450891 and holds a License No. 16852.11.1 (Mississippi).

The current practice location address for Grace Independent Living Store, Llc is 655 Lake Harbour Dr Ste 1100, Ridgeland, MS and can be reached out via phone at 601-499-5350.

Location: 655 Lake Harbour Dr Ste 1100, Ridgeland, MS, 39158-1140
institution
Provider Profile Details
NPI Number
1417450891
Provider Name
Grace Independent Living Store, Llc
Credential
Provider Entity Type
Organization
Address
655 Lake Harbour Dr Ste 1100, Ridgeland, MS, 39158-1140
Phone Number
601-499-5350
Fax Number
Provider Enumeration Date
03/13/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
655 Lake Harbour Dr Ste 1100
City
State
Zip
39157-4360
Phone Number
601-499-5350
Fax Number
person
Provider Business Mailing Address Details
Address
655 Lake Harbour Dr Ste 1100
City
State
Zip
39157-4360
Phone Number
601-499-5350
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
16852.11.1 (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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