Organization Name: | HOSPITAL DRIVE HOMECARE, INC |
NPI Number: | 1427241785 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD L PARA (PRESIDENT) |
Mailing Address: | 4113 Birney Ave Moosic |
State: | PA US |
Postal Code: | 185071301 |
Phone Number: | 5703489442 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 3000008176 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |