MEDICARE: DURABLE MEDICAL SUPPLY HOME HEALTH INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1922279132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DURABLE MEDICAL SUPPLY HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	100 EASTSIDE DR
Second Line	:	SUITE A
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9797
Country	:	US
Telephone Number	:	502-868-6892
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 EASTSIDE DR
Second Line	:	SUITE A
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9797
Country	:	US
Telephone Number	:	502-868-6892
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. RITA GOLDMAN
Credential	:	D.C.
Telephone Number	:	606-564-4213

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	03/14/2008

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