Organization
AT HOME HEALTH EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MILES (CHIEF COMPLIANCE OFFICER)
(706) 350-0888
Entity
Organization
Contact information
Practice address
5325 INDUSTRIAL RD, FORT WAYNE, IN 46825-5108
(260) 755-3393
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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