Organization
HOMECARE MATTRESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LYNN LIPPS (OWNER)
(937) 746-2556
Entity
Organization
Contact information
Practice address
303 CONOVER DR, FRANKLIN, OH 45005-1957
(937) 746-2556
Mailing address
303 CONOVER DR, FRANKLIN, OH 45005-1957
(937) 746-2556
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0104462
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104462
—
OH
Enumeration date
10/13/2016
Last updated
10/13/2016
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