Organization
LAKE REGION HOME MEDICAL, LLC
Active
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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