Organization
DICKS HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY EDWARD DICK (PRESIDENT)
(814) 949-6764
Entity
Organization
Contact information
Practice address
1300 BENNER PIKE, STE 3, STATE COLLEGE, PA 16801-7325
(814) 867-1970
(814) 867-1973
Mailing address
401 MAPLE AVE, ALTOONA, PA 16601-4170
(814) 949-6764
(814) 949-6767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007550730018
—
PA
01
—
232694
HIGHMARK
PA
01
—
39HA34
CAPITAL BLUE CROSS
PA
Enumeration date
08/09/2006
Last updated
05/25/2011
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