# PORTABLE HOME RESPIRATORY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790903268
- **Authorized official:** MS. EDITH E SELBY (OWNER OFFICER)
- **Authorized official phone:** (800) 768-0336

## Contact information

- **Practice address:** 4990 SW 52ND STREET, SUITE 211, FT LAUDERDALE, FL 33314-5520
- **Practice address phone:** (800) 768-0336
- **Practice address fax:** (954) 452-7774
- **Mailing address:** 4990 SW 52ND STREET, SUITE 211, FT LAUDERDALE, FL 33314-5520
- **Mailing address phone:** (800) 768-0336
- **Mailing address fax:** (954) 452-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3300368 | FL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 591 | FL | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 12/12/2007