Healthcare Provider Details

I. General information

NPI: 1023331568
Provider Name (Legal Business Name): HLS HOME ACCESSIBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 NW 5TH ST SUITE 1A
EVANSVILLE IN
47708-1314
US

IV. Provider business mailing address

420 NW 5TH ST SUITE 1A
EVANSVILLE IN
47708-1314
US

V. Phone/Fax

Practice location:
  • Phone: 812-759-6155
  • Fax:
Mailing address:
  • Phone: 812-759-6155
  • Fax:

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. RICK W STRADTNER
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 812-759-6157