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Organization

MOORE HOME MEDICAL SUPPLY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUDEEN ANGELETY-MOORE RN (OWNER)
(219) 392-6858
Entity
Organization

Contact information

Practice address
517 EXCHANGE AVE, EAST CHICAGO, IN 46312-3223
(219) 392-3189
(219) 392-3193
Mailing address
PO BOX 1733, GARY, IN 46409-0733
(219) 392-3189
(219) 392-3193

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/18/2007
Last updated
08/22/2020
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