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Organization

AMERICAN HOME MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DALLAS POWERS CPED (OWNER)
(616) 835-3304
Entity
Organization

Contact information

Practice address
6506 CERMAK RD, BERWYN, IL 60402-2323
(616) 835-3304
Mailing address
6506 CERMAK RD, BERWYN, IL 60402-2323
(616) 835-3304

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
212000175
IL

Other

Enumeration date
01/04/2011
Last updated
01/04/2011
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