Provider Demographics
NPI:1922279132
Name:DURABLE MEDICAL SUPPLY HOME HEALTH INC.
Entity Type:Organization
Organization Name:DURABLE MEDICAL SUPPLY HOME HEALTH INC.
Other - Org Name:GEORGETOWN DURABLE MEDICAL HOME HEALTH INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-564-4213
Mailing Address - Street 1:100 EASTSIDE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9797
Mailing Address - Country:US
Mailing Address - Phone:502-868-6892
Mailing Address - Fax:
Practice Address - Street 1:100 EASTSIDE DR
Practice Address - Street 2:SUITE A
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9797
Practice Address - Country:US
Practice Address - Phone:502-868-6892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DURABLE MEDICAL SUPPLY HOME HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies