| Organization Name: | HOMEBOUND MEDICAL SUPPLY CO |
| NPI Number: | 1700879194 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HORACE VERNON PIGFORD (PRESIDENT) |
| Mailing Address: | 615 E Southerland St Wallace |
| State: | NC US |
| Postal Code: | 284660070 |
| Phone Number: | 9102854410 |
| Fax Number: | 9102857505 |
| NPI Enumeration Date: | 08/31/2005 |
| NPI Last Update Date: | 03/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 00062 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |