Organization
TRI-COUNTY HOME HEALTH MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE WILLIAMS (OWNER)
(267) 809-3904
Entity
Organization
Contact information
Practice address
443-45 W. GIRARD AVE, STE 2B, PHILADELPHIA, PA 19123
(267) 809-3904
Mailing address
443-45 W. GIRARD AVE, STE 2B, PHILADELPHIA, PA 19123
(267) 809-3904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4000007541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4000007541
CERTIFICATE OF REGISTRATION00
PA
Enumeration date
04/30/2018
Last updated
04/30/2018
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