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Performance Mediequip Supply Llc
Customized Equipment (DME) in Diberville, Mississippi
NPI 1568652568

Performance Mediequip Supply Llc is a Customized Equipment (DME) based in Diberville, MS and is specialized in Customized Equipment. Performance Mediequip Supply Llc practices in Diberville, MS. The NPI Number for Performance Mediequip Supply Llc is 1568652568 and holds a License No. (Mississippi).

The current practice location address for Performance Mediequip Supply Llc is 4060 Popps Ferry Rd, Diberville, MS and can be reached out via phone at 662-719-8570.

Location: 4060 Popps Ferry Rd, Diberville, MS, 39540-2378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568652568
Provider Name
Performance Mediequip Supply Llc
Credential
Provider Entity Type
Organization
Address
4060 Popps Ferry Rd, Diberville, MS, 39540-2378
Phone Number
662-719-8570
Fax Number
Provider Enumeration Date
07/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4060 Popps Ferry Rd
City
Diberville
State
Mississippi
Zip
39540-2378
Phone Number
662-719-8570
Fax Number
person
Provider Business Mailing Address Details
Address
4060 Popps Ferry Rd
City
Diberville
State
Mississippi
Zip
39540-2378
Phone Number
662-719-8570
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
(Mississippi)
Definition
Definition to come...
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