Organization
HOME INFUSION SERVICES INC
Active
Organization
HOME INFUSION SERVICES INC
Active
Other names
LAKELAND HOME INFUSION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EFFA RN, MBA (DIVISION DIRECTOR)
(269) 985-4441
Entity
Organization
Contact information
Practice address
2550 MEADOWBROOK RD STE 106, BENTON HARBOR, MI 49022-9609
(269) 985-4422
(269) 982-0224
Mailing address
PO BOX 813, SAINT JOSEPH, MI 49085-0813
(269) 985-4422
(269) 985-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5301005592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2349644
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2742474
—
MI
Enumeration date
05/24/2006
Last updated
04/28/2011
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