OrganizationActive
At Home Medical Equipment
NPI 1639284433 · Durable Medical Equipment & Medical Supplies · Tifton, GA
Provider details
- NPI number
- 1639284433
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Chrystal Kendrick, Owner Manager(229) 382-1221
Specialties & taxonomies
Suppliers
Practice location
1801 Old Ocilla Rd
Tifton, GA 31794
Phone: (229) 382-1221
Fax: (229) 382-4044
Approximate (ZIP-level) locationGet directions
Mailing address
1801 Old Ocilla Rd
Tifton, GA 31794
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.