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Organization

CORNER HOMECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE K PPOOL RPH (CEO)
(270) 365-3903
Entity
Organization

Contact information

Practice address
546 LONE OAK RD, PADUCAH, KY 42003-4538
(270) 443-3311
(270) 442-7710
Mailing address
108 E WASHINGTON ST, PRINCETON, KY 42445-2250
(270) 365-3903
(270) 365-2024

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P02404
KY
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
332BN1400X
Nursing Facility Supplies (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
333600000X
Pharmacy
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45001559
KY
05
54005335
KY
05
54029509
KY
05
90310731
KY
Enumeration date
05/10/2007
Last updated
08/18/2008
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