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General NPI Number Information
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NPI Number | 1700970902
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Entity Type | Organization
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Legal Business Name | AMERICAN HOMECARE SUPPLY MID ATLANTIC LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 1217 BLOOM ST
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City | DANVILLE
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State | PA
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Zip | 17821-1303
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Country | US
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Telephone | 800-999-6504
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Fax | 570-819-2375
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Provider Business Mailing Address
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Address Line | 2710 EMRICK BLVD
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City | BETHLEHEM
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State | PA
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Zip | 18020-8012
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Country | US
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Telephone | 610-882-8880
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Fax | 610-867-7023
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MRS. LOREE ANDERSON-IAROCCI
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Credential | MA
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Telephone | 855-914-9140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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