| NPI | 1649259797 |
|---|---|
| Doing Business As | PEDIATRIC HOME SERVICE |
| Entity Type | Organization |
| Authorized Contact | JOYCE ANN BULMAN VP Of Quality And Compliance 651-789-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 170552701) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: TX 170552702) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2024-08-21 |