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Organization

AMERICAN HOMECARE SUPPLY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD L PARA (PRESIDENT)
(570) 963-0744
Entity
Organization

Contact information

Practice address
747 E CUMBERLAND ST, LEBANON, PA 17042-8138
(717) 274-9109
(717) 274-9617
Mailing address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 961-0155
(570) 961-1802

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
8000001380
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
8000001380
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8000001380
PA
335E00000X
Prosthetic/Orthotic Supplier
8000001380
PA

Other

Enumeration date
06/20/2007
Last updated
01/27/2009
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