Organization
GREENE RESPIRATORY SERVICES, INC
Active
Other names
Healthcare South East
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY ESCAMILLA (CFO)
(513) 831-0507
Entity
Organization
Contact information
Practice address
420 3RD ST STE 3, AURORA, IN 47001-1313
(812) 926-1582
(812) 926-3972
Mailing address
424 3RD ST, AURORA, IN 47001-1312
(513) 564-1582
(812) 926-3972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
69000109A
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69000109A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200834930
—
IN
Enumeration date
03/05/2007
Last updated
07/26/2023
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