Organization
HOSPITAL EQUIPMENT AND HOME NUTRITIONAL THERAPY, INC
Active
Organization
HOSPITAL EQUIPMENT AND HOME NUTRITIONAL THERAPY, INC
Active
Other names
Advanced Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RAY WALL RPH (PRESIDENT)
(205) 428-5113
Entity
Organization
Contact information
Practice address
727 MEMORIAL DR, BESSEMER, AL 35022-6029
(205) 428-5113
(205) 424-6786
Mailing address
119 HIGHLANDER DR, HUEYTOWN, AL 35023-2720
(205) 491-6836
(205) 424-6786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
05001347
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1404366
UMWA
AL
01
—
56588
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/18/2005
Last updated
08/22/2020
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