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Organization

AT HOME MEDICAL SUPPLY

Active
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Organization

AT HOME MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LEATRICE RILEY (DIRECTOR)
(888) 678-4160
Entity
Organization

Contact information

Practice address
4040 W 71ST ST, INDIANAPOLIS, IN 46268-5722
(888) 678-4160
(866) 365-4846
Mailing address
4040 W 71ST ST, INDIANAPOLIS, IN 46268-5722
(888) 678-4160
(866) 365-4846

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/02/2019
Last updated
01/02/2019
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