Organization
LITTLETON HOMECARE SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA A. BEVAN OWNER (PRESIDENT)
(937) 382-5694
Entity
Organization
Contact information
Practice address
1682 ALEX DRIVE, WILMINGTON, OH 45177
(937) 382-5694
(937) 382-8885
Mailing address
1682 ALEX DRIVE, WILMINGTON, OH 45177
(937) 382-5694
(937) 382-8885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMER.222050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441892
—
OH
Enumeration date
05/15/2006
Last updated
09/01/2016
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