Organization
HOME MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE E WALL (PRESIDENT)
(585) 343-9393
Entity
Organization
Contact information
Practice address
653 E MAIN ST, BATAVIA, NY 14020-2811
(585) 343-9393
(585) 343-8310
Mailing address
PO BOX 190, BATAVIA, NY 14021-0190
(585) 343-9393
(585) 343-8310
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01446340
—
NY
05
—
02134834
—
NY
Enumeration date
01/05/2007
Last updated
07/21/2022
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