Provider Demographics
NPI:1780833673
Name:HOME VETERINARY SERVICE INC
Entity Type:Organization
Organization Name:HOME VETERINARY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, VETERINARIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:DROZD
Authorized Official - Suffix:
Authorized Official - Credentials:VMD
Authorized Official - Phone:732-787-0055
Mailing Address - Street 1:125 LEONARDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718
Mailing Address - Country:US
Mailing Address - Phone:732-787-0055
Mailing Address - Fax:732-787-0265
Practice Address - Street 1:125 LEONARDVILLE RD
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718
Practice Address - Country:US
Practice Address - Phone:732-787-0055
Practice Address - Fax:732-787-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJV102628174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty