Organization
AMERICAN HOME CARE SUPPLY COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L PARA (PRESIDENT)
(570) 961-0155
Entity
Organization
Contact information
Practice address
38 N MAIN ST, MANSFIELD, PA 16933-1422
(570) 662-7001
(570) 662-7229
Mailing address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 961-0155
(570) 961-1802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
3000007528
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
3000007528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016726890006
—
PA
Enumeration date
12/01/2005
Last updated
04/09/2013
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