Healthcare Provider Details
I. General information
NPI: 1215926118
Provider Name (Legal Business Name): HOME CARE EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2005
Last Update Date: 12/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
326 WEST MAIN STREET
LEBANON VA
24266
US
IV. Provider business mailing address
P.O. BOX 339
CASTLEWOOD VA
24224
US
V. Phone/Fax
- Phone: 276-889-3618
- Fax: 276-889-1455
- Phone: 276-889-3618
- Fax: 276-889-1455
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | VA |
VIII. Authorized Official
Name:
KATHY
MARLENE
JUSTICE
Title or Position: OFFICE MANAGER
Credential: VICE PRESIDENT
Phone: 276-889-3618