American Homecare Supply Co
Durable Medical Equipment & Medical Supplies in Wilkes Barre, PA. Organization (NPI-2).
NPI number1215911581
StatusActive
Last updated in NPPESJan 27, 2009
Details
- NPI
- 1215911581
- Entity type
- Organization (NPI-2)
- Legal business name
- American Homecare Supply Co
- Organization subpart
- No
- Enumeration date
- Dec 1, 2005
- Last updated
- Jan 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 3000007810 | PA |
Practice location
150 Mundy StMac IV Building
Wilkes Barre, PA 18702-6830
Phone 570-825-7600 · Fax 570-825-7640
Mailing address
4113 Birney AveMoosic, PA 18507-1301
Phone 570-961-0155 · Fax 570-961-1802
Authorized official
Richard L Parra
President
5709610155
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