Healthcare Provider Details

I. General information

NPI: 1003117219
Provider Name (Legal Business Name): LHM VENTURES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 ELLSWORTH ST
PHILADELPHIA PA
19146-3012
US

IV. Provider business mailing address

1702 ELLSWORTH ST
PHILADELPHIA PA
19146-3012
US

V. Phone/Fax

Practice location:
  • Phone: 215-703-7428
  • Fax:
Mailing address:
  • Phone: 215-703-7428
  • 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: MRS. MARY JO WARD
Title or Position: BILLING ADMINISTRATOR
Credential:
Phone: 215-703-7428