Provider Demographics
NPI:1346365327
Name:WILLOW MEDICAL HOME CARE PRODUCTS, INC.
Entity Type:Organization
Organization Name:WILLOW MEDICAL HOME CARE PRODUCTS, INC.
Other - Org Name:SHORE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-542-1212
Mailing Address - Street 1:PO BOX 254
Mailing Address - Street 2:
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477-0254
Mailing Address - Country:US
Mailing Address - Phone:215-542-1212
Mailing Address - Fax:215-628-2414
Practice Address - Street 1:805 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477-0254
Practice Address - Country:US
Practice Address - Phone:215-542-1212
Practice Address - Fax:215-628-2414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies