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NPI Code Detail

MEDICARE: ALLAY HOME CARE, LLC

MEDICARE: ALLAY HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407961907
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLAY HOME CARE, LLC
Provider Business Mailing Address
First Line : 906 HARRISON ST
Second Line :
City : PRINCETON
State : WV
Zip : 24740-3011
Country : US
Telephone Number : 304-487-9711
Fax Number : 304-487-9714
Provider Business Practice Location Address
First Line : 906 HARRISON ST
Second Line :
City : PRINCETON
State : WV
Zip : 24740-3011
Country : US
Telephone Number : 304-487-9711
Fax Number : 304-487-9714
Authorized Official
Title or Position : SINGLE MEMBER/OWNER
Name : MR. JOSEPH E DANIEL
Credential :
Telephone Number : 304-255-0202
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/12/2022

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