Graceland Management Company Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0469511 Issued in MS

Legal business name

GRACELAND MANAGEMENT COMPANY INC.

Practice address

1212 Adams Ave
Oxford, MS 38655-3213

Phone

(662) 236-3200

Fax

(662) 513-0000

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Larry Overstreet

Title

Owner, President

Phone

(662) 236-3200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730307802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 ADAMS AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553213",
            "telephone_number": "662-236-3200",
            "fax_number": "662-513-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 ADAMS AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553213",
            "telephone_number": "662-236-3200",
            "fax_number": "662-513-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND MANAGEMENT COMPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "662-236-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "0469511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Oxford, MS
• Providers in Oxford, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.