Organization Name: | A HOMECARE DEVICE INC |
NPI Number: | 1134305972 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHOUSHAN GUKASYAN (CEO) |
Mailing Address: | 1518 Washington Bl Montebello |
State: | CA US |
Postal Code: | 906405402 |
Phone Number: | 8007579797 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | HMDR48741 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |