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Organization

PROFESSIONAL HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG RITTENHOUSE (PRESIDENT CEO)
(607) 763-5600
Entity
Organization

Contact information

Practice address
601 RIVERSIDE DR, JOHNSON CITY, NY 13790-2544
(607) 763-5600
(607) 763-5582
Mailing address
601 RIVERSIDE DR, JOHNSON CITY, NY 13790-2544
(607) 763-5600
(607) 763-5582

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0055L001
NY
332BN1400X
Nursing Facility Supplies (DME)
0055L001
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0055L001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01762014
NY
Enumeration date
09/13/2005
Last updated
08/08/2014
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