Organization
HOMESTAR MED EQUIP & INF SVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINICK DESARRO (ADMINISTRATOR)
(610) 419-7610
Entity
Organization
Contact information
Practice address
1200 WELSH RD, STORE M, NORTH WALES, PA 19454-3771
(215) 361-9794
Mailing address
77 S COMMERCE WAY, BETHLEHEM, PA 18017-8917
(610) 419-7600
(610) 882-9105
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000002573
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1000002573
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
1000002573
PA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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