| Organization Name: | QUALICARE HOME MEDICAL INC. |
| NPI Number: | 1255572210 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT DAVID SHELLENBERGER (VICE PRESIDENT OF OPERATIONS) |
| Mailing Address: | 453 Valley Brook Rd Suite 500 Mc Murray |
| State: | PA US |
| Postal Code: | 153173371 |
| Phone Number: | 4127607997 |
| Fax Number: | 7248646910 |
| NPI Enumeration Date: | 03/20/2009 |
| NPI Last Update Date: | 03/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 3000007633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |