Organization
COUCH HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DARLENE COUCH (OWNER/VICE PRESIDENT)
(276) 762-0146
Entity
Organization
Contact information
Practice address
16610 RUSSELL STREET, SUITE 2, SAINT PAUL, VA 24283-1053
(276) 762-0146
(276) 762-0146
Mailing address
PO BOX 1053, 16610 RUSSELL STREET, SAINT PAUL, VA 24283-1053
(276) 762-0146
(276) 762-0146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013247303
—
VA
Enumeration date
01/08/2010
Last updated
03/02/2011
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