Organization · Type 2 NPI

Southern Home Respiratory Care, Inc.

Customized Equipment (DME) · Macon, GA

NPI number 1740285543 Active

Practice location

215 Sheraton Blvd Ste B
Macon, GA 31210-1359

Fax (478) 757-0769

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	01977 (GA)

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NPI record

NPI: 1740285543
Entity type: Organization (Type 2)
Issued: Jun 17, 2005
Last updated: Oct 20, 2008
Status: Active
Subpart: Yes of Southern Sleep Technologies Inc

Other names

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Sleep Services of America, Inc · other name

Authorized official

Mark Shane Mobley, RRT, PSGT
CEO
(478) 757-0759

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About NPI 1740285543

Southern Home Respiratory Care, Inc.'s National Provider Identifier is 1740285543, issued on Jun 17, 2005. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Macon, GA. The record was last updated on Oct 20, 2008.