Provider Demographics
NPI:1730363599
Name:DIVERSIFIED HOME MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:DIVERSIFIED HOME MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:330-920-6235
Mailing Address - Street 1:1617 AKRON PENINSULA RD
Mailing Address - Street 2:SUITE 102B
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313
Mailing Address - Country:US
Mailing Address - Phone:330-920-6235
Mailing Address - Fax:330-552-2311
Practice Address - Street 1:1617 AKRON PENINSULA RD STE 102B
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7930
Practice Address - Country:US
Practice Address - Phone:330-920-6235
Practice Address - Fax:330-552-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies