Organization
HOME MED, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN E CONNELLY R.PH. (PRESIDENT)
(803) 791-3739
Entity
Organization
Contact information
Practice address
1302 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
(803) 791-3739
(803) 791-3712
Mailing address
1302 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
(803) 791-3739
(803) 791-3712
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME935
—
SC
Enumeration date
10/04/2006
Last updated
08/22/2020
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