Organization
DAYTON HOME MEDICAL LLC
Active
Other names
Clarks Mr Prescription
Organization subpart
No
Provider details
NPI number
Authorized official
NICK KALOGERAS (VP)
(614) 294-1600
Entity
Organization
Contact information
Practice address
7682 MCEWEN RD, CENTERVILLE, OH 45459
(937) 291-9554
(937) 291-9569
Mailing address
7682 MCEWEN RD, CENTERVILLE, OH 45459
(937) 291-9554
(937) 291-9569
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMER22204
OH
332BC3200X
Customized Equipment (DME)
HMER22204
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HMER22204
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2396563
—
OH
Enumeration date
08/14/2006
Last updated
04/03/2008
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