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Organization
HOME CONVALESCENT EQUIPMENT INC
Active
Organization
HOME CONVALESCENT EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT M JOHNSON RPH (OWNER)
(850) 547-4157
Entity
Organization
Contact information
Practice address
219 N WAUKESHA ST, BONIFAY, FL 32425-2245
(850) 547-4157
Mailing address
219 N WAUKESHA ST, BONIFAY, FL 32425-2245
(850) 547-4157
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
140
FL
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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