Provider Demographics
NPI:1841442670
Name:IN HOME LYMPHATIC CARE
Entity type:Organization
Organization Name:IN HOME LYMPHATIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:LUPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-291-3705
Mailing Address - Street 1:17 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1235
Mailing Address - Country:US
Mailing Address - Phone:732-291-3705
Mailing Address - Fax:732-291-0787
Practice Address - Street 1:17 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-1235
Practice Address - Country:US
Practice Address - Phone:732-291-3705
Practice Address - Fax:732-291-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty