Organization
FAMILY HOME MEDICAL SUPPLY INC
Active
Parent organization
FAMILY HOME MEDICAL SUPPLY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HOME MEDICAL SUPPLY INC
Authorized official
DEBRA HANNA (OWNER PRESIDENT)
(717) 235-4683
Entity
Organization
Contact information
Practice address
518 S MAIN ST, SUITE B, SHREWSBURY, PA 17361-1739
(717) 235-4683
Mailing address
518 S MAIN ST, SUITE B, SHREWSBURY, PA 17361-1739
(717) 235-4683
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
82539053
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001493151
HIGHMARK BLUE SHIELD
PA
01
—
20035207
AMERIHEALTH
PA
01
—
50020429
CAPITAL BLUE CROSS
PA
01
—
641164120
TRICARE MSC
PA
Enumeration date
05/27/2008
Last updated
06/03/2008
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