Organization Name: | WALL HOME MEDICAL EQUIPMENT, INC |
NPI Number: | 1659577104 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA M WALL (OWNER) |
Mailing Address: | 221 Rodgers Ave Lake City |
State: | SC US |
Postal Code: | 295602151 |
Phone Number: | 8433742299 |
Fax Number: | 8433742932 |
NPI Enumeration Date: | 06/22/2007 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 021168816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |