Organization
BOONE HOME HEALTHCARE, INC.
Active
Other names
Boone Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BOONE (OWNER)
(479) 394-6363
Entity
Organization
Contact information
Practice address
803-A HIGHWAY 71 NORTH, MENA, AR 71953
(479) 394-6363
(479) 394-1046
Mailing address
803-A HIGHWAY 71 NORTH, MENA, AR 71953
(479) 394-6363
(479) 394-1046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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