LIBERTY CONNECTION LLC NPI 1457629248

NPI Information

  • NPI: 1457629248
  • Provider Name: LIBERTY CONNECTION LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Former Legal Business Name: LIBERTY CONNECTION LLC
  • Address: 1230 RAYMOND RD
    JACKSON, MS
    ZIP 39204
  • Phone: (601) 331-3381

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NPI Details

LIBERTY CONNECTION LLC is a durable medical equipment medical supplies in Jackson, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LIBERTY CONNECTION LLC NPI is 1457629248. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Liberty Connection Llc.

The provider's business location address is:

1230 RAYMOND RD
JACKSON, MS
ZIP 39204-583
Phone: (601) 331-3381

The provider's authorized official is Dora C. Mosley .
The authorized official title is Owner and has the following contact phone number (601) 331-3381.

The enumeration date for this NPI number is 12/7/2011 and was last updated on 12/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies332B00000XMISSISSIPPIYes

What is NPI?

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This page was last updated on: 11/21/2025

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