Provider Demographics
NPI:1760613095
Name:PM HOME MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:PM HOME MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:HOME MEDICAL EQUIPME
Authorized Official - Phone:843-566-5527
Mailing Address - Street 1:1106 HAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-1977
Mailing Address - Country:US
Mailing Address - Phone:843-566-5527
Mailing Address - Fax:843-821-4812
Practice Address - Street 1:1106 HAMPTON CT
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-1977
Practice Address - Country:US
Practice Address - Phone:843-566-5527
Practice Address - Fax:843-821-4812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies