Home Health Depot INC
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Fort Wayne, IN. Organization (NPI-2).
NPI number1790057701
StatusActive
Last updated in NPPESJun 4, 2012
Details
- NPI
- 1790057701
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Health Depot INC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2012
- Last updated
- Jun 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 69000965A | IN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | IN | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | IN |
Practice location
6004 Highview DrSuite A
Fort Wayne, IN 46818-1383
Phone 260-399-1355 · Fax 260-399-1344
Mailing address
9245 N Meridian StSuite 200
Indianapolis, IN 46260-1836
Phone 317-333-6033 · Fax 317-333-6034
Authorized official
David A Hartley
Ceo
3173336033
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