Organization
NORTH END HOME MEDICAL SERVICES, LLC
Active
Parent organization
NORTH END HOME MEDICAL SERVICES, LLC
Other names
HFM Family Health Shoppe
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH END HOME MEDICAL SERVICES, LLC
Authorized official
MARK HERZOG (PRESIDENT/CEO)
(920) 320-3484
Entity
Organization
Contact information
Practice address
3310 CALUMET AVE, MANITOWOC, WI 54220-5426
(920) 320-4450
(920) 320-4498
Mailing address
3310 CALUMET AVE, MANITOWOC, WI 54220-5426
(920) 320-4450
(920) 320-4498
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41695900
—
WI
Enumeration date
07/01/2006
Last updated
08/09/2011
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