Organization
HOSPITAL DRIVE HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L PARA (PRESIDENT)
(570) 963-0744
Entity
Organization
Contact information
Practice address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 348-9442
Mailing address
9 BECKETT CLOSE, MOOSIC, PA 18507-1929
(570) 348-9442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3000008176
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
3000008176
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
3000008176
PA
335E00000X
Prosthetic/Orthotic Supplier
3000008176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000008176
PA DEPT OF HEALTH
PA
Enumeration date
08/21/2007
Last updated
01/27/2009
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