Provider Demographics
NPI:1902134455
Name:DURABLE MEDICAL SUPPLY HOME HEALTH INC.
Entity Type:Organization
Organization Name:DURABLE MEDICAL SUPPLY HOME HEALTH INC.
Other - Org Name:CYNTHIANA DURABLE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-564-3081
Mailing Address - Street 1:1050 US HIGHWAY 27 S
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-5997
Mailing Address - Country:US
Mailing Address - Phone:859-234-1605
Mailing Address - Fax:859-234-1628
Practice Address - Street 1:1050 US HIGHWAY 27 S
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-5997
Practice Address - Country:US
Practice Address - Phone:859-234-1605
Practice Address - Fax:859-234-1628
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DURABLE MEDICAL SUPPLY HOME HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies