| Organization Name: | PROFESSIONAL HOME CARE SERVICES,INC |
| NPI Number: | 1285639914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES MELANCON (VICE PRESIDENT) |
| Mailing Address: | 106 Sebethe Dr Cromwell |
| State: | CT US |
| Postal Code: | 064161094 |
| Phone Number: | 8002533738 |
| Fax Number: | 8608282397 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |