Organization Name: | HOME CONVALESCENT EQUIPMENT INC |
NPI Number: | 1700947017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT M JOHNSON (OWNER) |
Mailing Address: | 219 N Waukesha St Bonifay |
State: | FL US |
Postal Code: | 324252245 |
Phone Number: | 8505474157 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |