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Contact Information

DEEP SOUTH HOME MEDICAL EQUIPMENT INC
229 SUNRISE LANE
MALVERN, AL36349
 Phone: 334-671-0471
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DEEP SOUTH HOME MEDICAL EQUIPMENT INC

NPI Number 1871569129
LBN Legal business name DEEP SOUTH HOME MEDICAL EQUIPMENT INC
Authorized official RICKY FLOURNEY - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2006
Last updated 06/18/2019 - About 7 years ago
Identifiers
AL License # 065560
AL License # 112249
AL Medicaid 009918095
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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