Organization
HOMEWARD BOUND MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA MARIE HUDSON (MANAGER / OWNER)
(608) 790-4381
Entity
Organization
Contact information
Practice address
3836 SE DIXIE HWY, STUART, FL 34997-6055
(772) 210-6711
(772) 210-6159
Mailing address
416 W SKELLY ST, CUBA CITY, WI 53807-1035
(608) 790-4381
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/24/2020
Last updated
03/30/2021
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