Provider Demographics
NPI:1700836095
Name:DAK CARRIERS, INC.
Entity Type:Organization
Organization Name:DAK CARRIERS, INC.
Other - Org Name:HOME MEDICAL ALTERNATIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:KITCHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-534-8759
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:MS
Mailing Address - Zip Code:38652-0001
Mailing Address - Country:US
Mailing Address - Phone:662-534-8759
Mailing Address - Fax:662-538-6132
Practice Address - Street 1:716 W BANKHEAD ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:MS
Practice Address - Zip Code:38652-2801
Practice Address - Country:US
Practice Address - Phone:662-534-8759
Practice Address - Fax:662-538-6132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS03813111332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440227Medicaid
MS03813111OtherMS STATE BOARD OF PHARMAC
MS00440227Medicaid