Organization
CORNER HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN K PPOOL (PRESIDENT)
(270) 365-3903
Entity
Organization
Contact information
Practice address
321 N 2ND ST, VINCENNES, IN 47591-1304
(812) 886-6902
(812) 886-5473
Mailing address
108 E WASHINGTON ST, PRINCETON, KY 42445-2250
(270) 365-3903
(270) 365-2693
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
60005201A
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
60005201A
IN
333600000X
Pharmacy
60005201A
IN
335E00000X
Prosthetic/Orthotic Supplier
60005201A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200413900A
—
IN
05
—
200500530A
—
IN
05
—
61164848004
—
IL
Enumeration date
06/20/2005
Last updated
08/17/2011
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