DIANE RAULERSONS HOME MEDICAL EQUIPMENT; NPI #1295862332

Contact Information

DIANE RAULERSONS HOME MEDICAL EQUIPMENT

2019 ALICE ST
WAYCROSS, GA 31501-6209

Phone: 912-283-4663
Fax: 912-338-0208
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	87	All Other Suppliers
Parenteral & Enteral Nutrition	332BP3500X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for DIANE RAULERSONS HOME MEDICAL EQUIPMENT

NPI # 1295862332

LBN Legal business name DIANE RAULERSONS HOME MEDICAL EQUIPMENT

Authorized official DIANE RAULERSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/27/2007

Last updated 03/22/2012 - About 14 years ago

Identifiers

GA	License #	002687
GA	Medicaid	00855357A

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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DIANE RAULERSONS HOME MEDICAL EQUIPMENT

Contact Information

Specialty

Oxygen Equipment & Supplies

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Parenteral & Enteral Nutrition

NPI Profile & details for DIANE RAULERSONS HOME MEDICAL EQUIPMENT

Reviews for DIANE RAULERSONS HOME MEDICAL EQUIPMENT