Organization
FAMILY HOME MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HANNA (OWNER PRESIDENT)
(717) 779-0900
Entity
Organization
Contact information
Practice address
2035 CARLISLE RD, YORK, PA 17408-4052
(717) 779-0900
Mailing address
2035 CARLISLE RD, YORK, PA 17408-4052
(717) 779-0900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
82539053
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001493151
HIGHMARK BLUE SHIELD
PA
01
—
20035207
AMERIHEALTH
PA
01
—
50020429
CAPITAL BLUE CROSS
PA
01
—
641164120
TRICARE MSC
PA
Enumeration date
11/02/2005
Last updated
06/30/2008
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