Organization
CLARK HOME RESPIRATORY SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L CLARK JR. (PRESIDENT)
(518) 943-3456
Entity
Organization
Contact information
Practice address
181 HEALY BLVD, HUDSON, NY 12534
(518) 828-4003
(518) 943-2053
Mailing address
168 JEFFERSON HTS, CATSKILL, NY 12414-1215
(518) 943-3456
(518) 943-2053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
03/26/2009
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