| NPI | 1538128293 |
|---|---|
| Doing Business As | PEDIATRIC HOME SERVICE |
| Entity Type | Organization |
| Authorized Contact | CAMEO KAE ZEHNDER Chief Administrative Officer 651-642-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 57187036) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-08-03 |