Organization
P & R HOME IV SERVICE, INC.
Active
Other names
P & R MEDICAL CONNECTION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN SUE FARRIS (SECRETARY/TREASURER)
(800) 587-7670
Entity
Organization
Contact information
Practice address
1018 RALSTON AVENUE, SUITE 107, DEFIANCE, OH 43512
(866) 782-2857
(419) 782-3765
Mailing address
16937 DEFIANCE TRL, VAN WERT, OH 45891-8619
(800) 587-7670
(419) 587-2030
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
HMER22206
OH
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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