Organization Name: | HOME CARE MEDICAL AIDS INC OF NINETY SIX |
NPI Number: | 1689941676 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLEE SMITH JONES (CERTIFIED RESPIRATORY THERAPIST) |
Mailing Address: | 105 Little Mtn Rd Ninety Six |
State: | SC US |
Postal Code: | 29666 |
Phone Number: | 8645433300 |
Fax Number: | 8645433301 |
NPI Enumeration Date: | 11/19/2011 |
NPI Last Update Date: | 11/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 1045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |