Provider Demographics
NPI:1528317328
Name:HOPE HOME MEDICAL SUPPLY, LLC
Entity type:Organization
Organization Name:HOPE HOME MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:UPCHURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-967-2800
Mailing Address - Street 1:30 J C WATTS AVE
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-3010
Mailing Address - Country:US
Mailing Address - Phone:918-689-7424
Mailing Address - Fax:918-689-7437
Practice Address - Street 1:30 J C WATTS AVE
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-3010
Practice Address - Country:US
Practice Address - Phone:918-689-7424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies