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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
GREGORY J CRAWFORD (CEO)
(859) 441-8876
Entity
Organization
Contact information
Practice address
200 E LINCOLN RD, KOKOMO, IN 46902-3564
(765) 450-7666
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004566710
—
IN
Enumeration date
02/14/2019
Last updated
02/25/2022
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