Organization
MCNELIS HOME CARE COMPANY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F MCNELIS (CEO/PRESIDENT)
(570) 459-0202
Entity
Organization
Contact information
Practice address
785 S CHURCH ST, HAZLETON, PA 18201-7684
(570) 459-0202
(570) 459-0607
Mailing address
785 S CHURCH ST, HAZLETON, PA 18201-7684
(570) 459-0202
(570) 459-0607
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010876700001
—
PA
Enumeration date
07/08/2005
Last updated
02/25/2011
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