Organization
AMERICAN HOMECARE SUPPLY CO
Active
Other names
American Home Medical Equipment Co
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L PARA (PRESIDENT)
(570) 961-0155
Entity
Organization
Contact information
Practice address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 961-9606
(570) 961-9608
Mailing address
4113 BIRNEY AVE, STE 2, 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)
8000001618
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
8000001618
PA
335E00000X
Prosthetic/Orthotic Supplier
8000001618
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016726890002
—
PA
Enumeration date
12/01/2005
Last updated
08/26/2009
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