Organization
HOME HEALTH DEPOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI GOLDMAN (DIRECTOR OF CONTRACTING)
(317) 333-6033
Entity
Organization
Contact information
Practice address
7717 KENSINGTON CT, BRIGHTON, MI 48116-8561
(248) 264-7099
(248) 264-7097
Mailing address
9245 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-1836
(317) 333-6033
(317) 333-6034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
332BC3200X
Customized Equipment (DME)
—
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609935584
—
MI
Enumeration date
11/12/2010
Last updated
02/07/2012
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