Organization Name: | CLINICAL HOME CARE, INC. |
NPI Number: | 1013029990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT A PANEQUE (PRES OWNER) |
Mailing Address: | 11360 Fortune Cir Suite E29 Wellington |
State: | FL US |
Postal Code: | 334148721 |
Phone Number: | 5613330078 |
Fax Number: | 5613330076 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 1312795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |