Organization
AABON HOME HEALTH CARE SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E HARRY SR. (OWNER)
(334) 774-7535
Entity
Organization
Contact information
Practice address
136 E REYNOLDS ST, OZARK, AL 36360-1530
(334) 774-7535
(334) 445-1736
Mailing address
136 E REYNOLDS ST, OZARK, AL 36360-1530
(334) 774-7535
(334) 445-1736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054200
—
AL
01
—
56909
BLUECROSS BLUESHIELD
AL
Enumeration date
11/21/2006
Last updated
07/16/2012
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