Organization
MED-LINE SUPPORT INC
Active
Other names
Right at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DOMKE (PRESIDENT / CEO)
(412) 824-0700
Entity
Organization
Contact information
Practice address
1514 ELECTRIC AVE, EAST PITTSBURGH, PA 15112-1337
(412) 824-0700
Mailing address
1514 ELECTRIC AVE, EAST PITTSBURGH, PA 15112-1337
(412) 824-0700
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10733601
PA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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