Organization
WILLIAM JEREMY HARVEY
Active
Other names
TRI-STATE HOME MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JEREMY HARVEY (OWNER)
(937) 472-3335
Entity
Organization
Contact information
Practice address
1409 US ROUTE 35 E, EATON, OH 45320-2231
(937) 472-3335
(937) 472-3332
Mailing address
1409 US ROUTE 35 E, EATON, OH 45320-2231
(937) 472-3335
(937) 472-3332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMER.22478
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200897400A
—
IN
05
—
2834133
—
OH
Enumeration date
03/24/2008
Last updated
09/09/2008
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