Organization Name: | ADVANCED HOME MEDICAL LLC |
NPI Number: | 1073976304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DURENDA MARIE KUHARIK (PRESIDENT) |
Mailing Address: | 10604 Millington Ct Blue Ash |
State: | OH US |
Postal Code: | 452424015 |
Phone Number: | 6144339011 |
Fax Number: | 6144339013 |
NPI Enumeration Date: | 04/04/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |