Organization
PROFESSIONAL HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG RITTENHOUSE (VICE-PRESIDENT & COO)
(607) 763-5600
Entity
Organization
Contact information
Practice address
26 CONKEY AVE, 1ST FLOOR EATON CENTER, NORWICH, NY 13815-1756
(607) 336-5130
(607) 336-5131
Mailing address
601 RIVERSIDE DR, JOHNSON CITY, NY 13790-2544
(607) 763-5600
(607) 763-5582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0055L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01762014
—
NY
Enumeration date
07/18/2014
Last updated
07/31/2014
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