Organization
AT HOME MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRUZ ROSHAN (PRESIDENT)
(615) 333-3392
Entity
Organization
Contact information
Practice address
350 WALLACE RD, NASHVILLE, TN 37211-4883
(615) 333-3392
(615) 333-3810
Mailing address
350 WALLACE RD, NASHVILLE, TN 37211-4883
(615) 333-3392
(615) 333-3810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000002400
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455011
—
TN
Enumeration date
09/29/2006
Last updated
02/06/2012
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