Provider Demographics
NPI:1144574138
Name:FAMILY HEARING SERVICES LLC
Entity Type:Organization
Organization Name:FAMILY HEARING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR/DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:601-602-4147
Mailing Address - Street 1:6380 U S HIGHWAY 98
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-8532
Mailing Address - Country:US
Mailing Address - Phone:601-602-4147
Mailing Address - Fax:
Practice Address - Street 1:6380 U S HIGHWAY 98
Practice Address - Street 2:SUITE 1
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8532
Practice Address - Country:US
Practice Address - Phone:601-602-4147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSHA0502332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment