| Organization Name: | PROFESSIONAL RESPIRATORY HOMECARE SERVICES, INC. |
| NPI Number: | 1033462759 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ASMAMAW E. BEYENE (CHIEF EXECUTIVE) |
| Mailing Address: | 2031 Gwynn Oak Ave Woodlawn |
| State: | MD US |
| Postal Code: | 212075262 |
| Phone Number: | 4102810002 |
| Fax Number: | 4102810009 |
| NPI Enumeration Date: | 10/18/2012 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | R3307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |