Provider Demographics
NPI:1881874097
Name:PROCURA HOME HEALTH COMPANY
Entity type:Organization
Organization Name:PROCURA HOME HEALTH COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRAY-PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-840-6125
Mailing Address - Street 1:3008 QUAIL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9294
Mailing Address - Country:US
Mailing Address - Phone:570-840-6125
Mailing Address - Fax:570-207-9287
Practice Address - Street 1:231 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-9189
Practice Address - Country:US
Practice Address - Phone:570-840-6125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies