Organization
ON THE GO HME, INC.
Active
Other names
On The Go Home Medical Equipment & Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN ELISE ALLMON B.A. (OWNER)
(712) 256-9595
Entity
Organization
Contact information
Practice address
2201 W BROADWAY, BAY #4, COUNCIL BLUFFS, IA 51501-3605
(712) 256-9595
(712) 256-9596
Mailing address
2201 W BROADWAY, BAY #4, COUNCIL BLUFFS, IA 51501-3605
(712) 256-9595
(712) 256-9596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400114
—
IA
05
—
10025582200
—
NE
01
—
70111
BCBS
IA
Enumeration date
05/30/2007
Last updated
03/15/2008
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