| NPI | 1689456022 |
|---|---|
| Doing Business As | LUCEDALE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | PAULA M. BRELAND Manager 601-426-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-01-10 |