Organization
ABC HOME MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY M VESTAL (PRESIDENT AND DIRECTOR)
(866) 897-8588
Entity
Organization
Contact information
Practice address
2483 15TH ST NW STE B, NEW BRIGHTON, MN 55112-5604
(651) 636-0848
(651) 636-5746
Mailing address
PO BOX 674553, DETROIT, MI 48267-4553
(800) 676-9399
(651) 636-5746
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100305997
—
WI
05
—
1427051531
—
MN
Enumeration date
05/23/2005
Last updated
02/17/2026
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