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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