Provider Demographics
NPI:1568775542
Name:BZB, LLC
Entity Type:Organization
Organization Name:BZB, LLC
Other - Org Name:DURACARE HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEM
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:HARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-450-5320
Mailing Address - Street 1:13 POWER LN
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-8563
Mailing Address - Country:US
Mailing Address - Phone:601-450-5320
Mailing Address - Fax:601-450-5321
Practice Address - Street 1:13 POWER LN
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8563
Practice Address - Country:US
Practice Address - Phone:601-450-5320
Practice Address - Fax:601-450-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS08573/11.1332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies