Organization
KRIECK ENTERPRISES LLC
Active
Other names
Homecare America
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM KRIECK (PARTNER)
(973) 377-8990
Entity
Organization
Contact information
Practice address
125 PARK AVE, MADISON, NJ 07940-1122
(973) 377-8990
(973) 377-8995
Mailing address
125 PARK AVENUE, MADISON, NJ 07940-1122
(973) 377-8990
(973) 377-8995
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045110
—
NJ
01
—
1003788
PROGRESSIVE
NJ
Enumeration date
09/14/2006
Last updated
07/08/2011
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