Organization
EBERHART HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EBERHART RCP/RRT (PRESIDENT/CEO)
(949) 367-1868
Entity
Organization
Contact information
Practice address
3751 N BUTLER AVE, SUITE 107, FARMINGTON, NM 87401-6435
(505) 716-4238
(505) 326-5042
Mailing address
3751 N BUTLER AVE, SUITE 107, FARMINGTON, NM 87401-6435
(505) 716-4238
(505) 326-5042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50553569
—
NM
Enumeration date
04/17/2008
Last updated
05/04/2009
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