Organization Name: | CORNER HOMECARE INC |
NPI Number: | 1114923257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN K PPOOL (PRESIDENT) |
Mailing Address: | 700 Cassidy Ave Fredonia |
State: | KY US |
Postal Code: | 424119207 |
Phone Number: | 2705453413 |
Fax Number: | 2705453427 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |