Organization
AMERICAN HOMECARE SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L PARA (PRESIDENT CEO)
(570) 961-0155
Entity
Organization
Contact information
Practice address
419 S BLAKELY ST, DUNMORE, PA 18512-2234
(570) 961-3300
(570) 961-3600
Mailing address
4113 BIRNEY AVE, SUITE #1, MOOSIC, PA 18507-1330
(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)
6000005135
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
6000005135
PA
335E00000X
Prosthetic/Orthotic Supplier
6000005135
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016726890002
—
PA
Enumeration date
12/05/2005
Last updated
01/27/2009
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