Organization · Type 2 NPI

Miracle Medical Supply, LLC

Durable Medical Equipment & Medical Supplies · Laurel, MS

NPI number 1457772014 Active

Practice location

111 Ellisville Blvd
Laurel, MS 39440-4519

Call (601) 428-4668 Map

Fax (601) 428-4668

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: 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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About NPI 1457772014

Miracle Medical Supply, LLC's National Provider Identifier is 1457772014, issued on Dec 30, 2013. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Laurel, MS. The record was last updated on Dec 10, 2014.