Organization
HOME HEALTH DEPOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A HARTLEY JR. (CEO)
(317) 333-6033
Entity
Organization
Contact information
Practice address
6004 HIGHVIEW DR, SUITE A, FORT WAYNE, IN 46818-1383
(260) 399-1355
(260) 399-1344
Mailing address
9245 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-1836
(317) 333-6033
(317) 333-6034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
IN
332BC3200X
Customized Equipment (DME)
—
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69000965A
IN
Other
Enumeration date
02/07/2012
Last updated
06/04/2012
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