Organization
LAKE REGION HOME MEDICAL, LLC
Active
Other names
Corner Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN STEINHAUSER (DIRECTOR OF BILLING & COMPLIANCE)
(763) 442-9677
Entity
Organization
Contact information
Practice address
1432 W LINCOLN AVE, FERGUS FALLS, MN 56537-1032
(320) 263-1349
Mailing address
2730 NEVADA AVE N, NEW HOPE, MN 55427-2807
(637) 535-5335
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/15/2014
Last updated
08/06/2024
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