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Organization
AT HOME HEALTH EQUIPMENT LLC
Active
Organization
AT HOME HEALTH EQUIPMENT LLC
Active
Parent organization
AT HOME HEALTH EQUIPMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AT HOME HEALTH EQUIPMENT LLC
Authorized official
STACEY WAYNE PARKER (PRESIDENT)
(317) 872-9702
Entity
Organization
Contact information
Practice address
8320 BROOKVILLE RD STE H, INDIANAPOLIS, IN 46239-8914
(317) 759-6087
Mailing address
8320 BROOKVILLE RD STE H, INDIANAPOLIS, IN 46239-8914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004566710
—
IN
Enumeration date
02/14/2019
Last updated
02/14/2019
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