Provider Demographics
NPI:1255532693
Name:DIVERSIFIED HOME MEDICALS, INC.
Entity type:Organization
Organization Name:DIVERSIFIED HOME MEDICALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:N
Authorized Official - Last Name:OLAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-689-9191
Mailing Address - Street 1:123 S BROAD ST
Mailing Address - Street 2:SUITE 233
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-4304
Mailing Address - Country:US
Mailing Address - Phone:740-689-9191
Mailing Address - Fax:740-689-9230
Practice Address - Street 1:3556 SULLIVANT AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1153
Practice Address - Country:US
Practice Address - Phone:614-206-1494
Practice Address - Fax:614-276-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health