Healthcare Provider Details

I. General information

NPI: 1659422145
Provider Name (Legal Business Name): HOME HEALTH EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 PARKER AVE.
BROOKLET GA
30415
US

IV. Provider business mailing address

PO BOX 474
BROOKLET GA
30415-0474
US

V. Phone/Fax

Practice location:
  • Phone: 912-842-7845
  • Fax: 912-842-7846
Mailing address:
  • Phone: 912-842-7845
  • Fax: 912-842-7846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD H RICH
Title or Position: PRESIDENT
Credential:
Phone: 912-842-7845