Organization
CHRISTOPHER E HOLBROOK SR
Active
Other names
Beacon Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER E HOLBROOK SR. (OWNER)
(740) 259-0808
Entity
Organization
Contact information
Practice address
1630 COON HOLLOW RD, LUCASVILLE, OH 45648-8872
(740) 259-0808
(740) 259-4095
Mailing address
1630 COON HOLLOW RD, LUCASVILLE, OH 45648-8872
(740) 259-0808
(740) 259-4095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL11495
OH
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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