| Organization Name: | MEDIC HOME HEALTH CARE, LLC |
| NPI Number: | 1679749030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM COLLINS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 701 Beta Dr #7 Mayfield Village |
| State: | OH US |
| Postal Code: | 441432367 |
| Phone Number: | 4404497727 |
| Fax Number: | 4404497725 |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 02-0998700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |