Organization
AT HOME MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA LIVERINGHOUSE (PRESIDENT)
(612) 378-1474
Entity
Organization
Contact information
Practice address
3638 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-1343
(612) 378-1474
(612) 378-1570
Mailing address
3624 MISSISSIPPI DR NW, COON RAPIDS, MN 55433-2633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MN
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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