Organization Name: | DESOTO HOME HEALTH CARE INC. |
NPI Number: | 1073892782 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL ASHLEY GRAHAM (CEO) |
Mailing Address: | 3975 Us 27 S Sebring |
State: | FL US |
Postal Code: | 338705512 |
Phone Number: | 8633822606 |
Fax Number: | 8633823969 |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 32-6855 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |