Organization
ACCESS HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PHELPS RN (OWNER)
(435) 787-4530
Entity
Organization
Contact information
Practice address
76 W 100 N, LOGAN, UT 84321-4506
(435) 787-4530
(435) 787-8361
Mailing address
76 W 100 N, LOGAN, UT 84321-4506
(435) 787-4530
(435) 787-8361
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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