OrganizationActive
At-Home Medical Supply
NPI 1285099192 · Durable Medical Equipment & Medical Supplies · Jackson, MS
Provider details
- NPI number
- 1285099192
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Jeanette Felton, Ceo
Practice location
5015 I 55 N Ste B
Jackson, MS 39206-4306
Phone: (601) 362-3019
Fax: (601) 362-0405
Mailing address
306 Church St
Port Gibson, MS 39150-2108
Registry dates
- Enumerated
- 2015-12-18
- Last updated
- 2016-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.