Organization
COMMUNITY HME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HALL (VICE PRESIDENT)
(402) 592-2435
Entity
Organization
Contact information
Practice address
130 RICHLAND SQ, HWY 14, RICHLAND CENTER, WI 53581-2947
(608) 355-0774
(608) 355-0787
Mailing address
9931 S 136TH ST, STE 100, OMAHA, NE 68138-3937
(402) 592-2435
(402) 592-6914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2307-45
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41701900
—
WI
Enumeration date
04/09/2007
Last updated
12/03/2015
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