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PROFESSIONAL HOME IV INC

Medical Equipment Supplier Yellow Pages

Soldotna, Alaska

Provider NPI: 1053341966

Organization Information:
Organization Name:  PROFESSIONAL HOME IV INC


Practice Location:
182 S BIRCH ST  SOLDOTNA, AK 99669 US
Tel: 907-262-8737  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336L0003XSuppliers
Pharmacy
Long Term Care Pharmacy
AKPHAR490
Y3336H0001XSuppliers
Pharmacy
AK490

Other Provider Identifiers:

IssuerNumberStateType
1619615AK05
1021642AK05
MS1723AK05
PH0246AK05
1028530AK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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