| NPI | 1407159817 |
|---|---|
| Doing Business As | PEDIATRIC HOME SERVICE |
| Entity Type | Organization |
| Authorized Contact | JOYCE ANN BULMAN VP Of Quality And Compliance 651-789-0926 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000532) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 1000532) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2024-11-21 |