Provider Demographics
NPI:1831240068
Name:HORIZON MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:HORIZON MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FOWOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:GBADEBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-379-5006
Mailing Address - Street 1:1044 GROVER RD
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-5620
Mailing Address - Country:US
Mailing Address - Phone:715-379-5006
Mailing Address - Fax:715-835-4889
Practice Address - Street 1:1044 GROVER RD
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-5620
Practice Address - Country:US
Practice Address - Phone:715-379-5006
Practice Address - Fax:715-835-4889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2000-045332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies