Organization
FAMILY HOME MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUMOKE ADEDO (MANAGING DIRECTOR)
(646) 934-5014
Entity
Organization
Contact information
Practice address
1795 FLATBUSH AVE, BROOKLYN, NY 11210-4341
(917) 789-9904
Mailing address
1795 FLATBUSH AVE, BROOKLYN, NY 11210-4341
(917) 789-9904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DMEHS4816
DMEHS
NY
Enumeration date
10/04/2018
Last updated
04/06/2020
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