Healthcare Provider Details
I. General information
NPI: 1407231988
Provider Name (Legal Business Name): VALUPLUS HOME HEALTH CARE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2015
Last Update Date: 07/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1737 N WENATCHEE AVE SUITE D
WENATCHEE WA
98801-1189
US
IV. Provider business mailing address
1737 N WENATCHEE AVE SUITE D
WENATCHEE WA
98801-1189
US
V. Phone/Fax
- Phone: 509-663-8772
- Fax: 509-664-1820
- Phone: 509-663-8772
- Fax: 509-664-1820
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 602052 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAYMOND
N
DOGGETT
Title or Position: PRESIDENT
Credential:
Phone: 509-663-8772