Organization
HOMETOWN OXYGEN CHARLOTTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS VOORHEES (CEO)
(732) 692-2747
Entity
Organization
Contact information
Practice address
1700 ALTA VISTA DR STE 250, COLUMBIA, SC 29223-4559
(803) 873-9985
(704) 793-1610
Mailing address
41 SPRING ST., SUITE 103, NEW PROVIDENCE, NJ 07974
(803) 873-9985
(704) 784-0055
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
17355
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17355
SC BOARD OF PHARMACY
SC
Enumeration date
01/22/2018
Last updated
05/07/2018
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