MEDICARE: L&R HOMEMED INC

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		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508801937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L&R HOMEMED INC

Provider Business Mailing Address
First Line	:	1916 WELSH RD
Second Line	:	SUITE 15
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-4655
Country	:	US
Telephone Number	:	215-969-2165
Fax Number	:	215-969-2166

Provider Business Practice Location Address
First Line	:	1916 WELSH RD
Second Line	:	SUITE 15
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-4655
Country	:	US
Telephone Number	:	215-969-2165
Fax Number	:	215-969-2166

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. TSILYA MENSH
Credential	:
Telephone Number	:	215-969-2165

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	01/18/2012

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Directions to “L&R HOMEMED INC ” Practice Location

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