Organization Name: | HOME TOWN MEDICAL SUPPLIES |
NPI Number: | 1215035993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE ZUBLIS (OWNER) |
Mailing Address: | 1137 Se 1083 Avenue Red Oak |
State: | OK US |
Postal Code: | 74563 |
Phone Number: | 9184654242 |
Fax Number: | 9184654595 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 12/30/2010 |
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: |