Organization
CARDIOPULMONARY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL H SHONTZ (VICE PRESIDENT)
(502) 937-0877
Entity
Organization
Contact information
Practice address
1300 ENVOY CIR, SUITE 1303, LOUISVILLE, KY 40299-2893
(502) 937-0877
(502) 937-0837
Mailing address
1300 ENVOY CIR, SUITE 1303, LOUISVILLE, KY 40299-2893
(502) 937-0877
(502) 937-0837
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004240
—
KY
Enumeration date
04/16/2007
Last updated
12/20/2011
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