Provider Demographics
NPI:1285914200
Name:METRO SPECIAL CARE MEDICAL EQUIPMENT & SUPPLY COMPANY
Entity type:Organization
Organization Name:METRO SPECIAL CARE MEDICAL EQUIPMENT & SUPPLY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:601-982-2248
Mailing Address - Street 1:1485 LIVINGSTON LN
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39213-8004
Mailing Address - Country:US
Mailing Address - Phone:601-982-2248
Mailing Address - Fax:
Practice Address - Street 1:1485 LIVINGSTON LN
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-8004
Practice Address - Country:US
Practice Address - Phone:601-982-2248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies