MEDICARE: ALHH DURABLE MEDICAL EQUIPMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1001493	TX

General Provider Information

NPI Number	:	1194231183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALHH DURABLE MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	1115 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5509
Country	:	US
Telephone Number	:	915-564-0168
Fax Number	:	210-714-0168

Provider Business Practice Location Address
First Line	:	1115 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5509
Country	:	US
Telephone Number	:	915-564-0168
Fax Number	:	210-714-0168

Authorized Official
Title or Position	:	CEO
Name	:	MIGUEL ANGEL VILLANUEVA
Credential	:
Telephone Number	:	915-564-0168

Provider Enumeration Date	:	12/28/2017
Last Update Date	:	12/28/2017

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