Organization
HOME HEALTH DEPOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI GOLDMAN (DIRECTOR OF CONTRACTING)
(317) 333-6033
Entity
Organization
Contact information
Practice address
300 S TILLOTSON AVE, MUNCIE, IN 47304-4357
(765) 284-5000
(765) 284-5430
Mailing address
9245 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-1836
(317) 333-6033
(317) 333-6034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
69000391A
IN
332BC3200X
Customized Equipment (DME)
Primary
69000391A
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
69000391A
IN
Other
Enumeration date
10/31/2010
Last updated
02/07/2012
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