Organization
IN-HOME OXYGEN & DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAELLA M SCHMIDT (OWNER)
(920) 923-5377
Entity
Organization
Contact information
Practice address
15 GUINDON BLVD, FOND DU LAC, WI 54935-5840
(920) 923-5377
(920) 923-4396
Mailing address
PO BOX 1837, FOND DU LAC, WI 54936-1837
(920) 923-5377
(920) 923-4396
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
004-0000870906-01
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41749400
—
WI
Enumeration date
11/29/2005
Last updated
08/22/2020
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