Organization Name: | HOSPITAL DRIVE HOME CARE, INC |
NPI Number: | 1457428047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD PARA (PRESIDENT) |
Mailing Address: | 81 Hospital Drive Towanda |
State: | PA US |
Postal Code: | 188489702 |
Phone Number: | 5702655500 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 6000006885 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |