Provider Demographics
NPI:1811145485
Name:MSC GROUP, INC.
Entity type:Organization
Organization Name:MSC GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF LEGAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:904-848-1989
Mailing Address - Street 1:841 PRUDENTIAL DR STE 204
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8347
Mailing Address - Country:US
Mailing Address - Phone:904-646-0199
Mailing Address - Fax:
Practice Address - Street 1:841 PRUDENTIAL DR STE 204
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8347
Practice Address - Country:US
Practice Address - Phone:904-646-0199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCP-MSC ACQUISITION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-08
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty