Western Home

NPI #1124239751 in Cedar Falls, Iowa

Provider Information

NPI Number: 1124239751
Entity Type: Organization
Organization Name: Western Home
Primary Specialty: Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies
Enumeration Date: May 25, 2007
Last Updated: Apr 23, 2009

Practice Location

Address: 420 E 11TH ST
City: Cedar Falls
State: Iowa
ZIP Code: 50613-3364
Phone: (319) 277-2141

Authorized Official

Name: JERRY L. HARRIS
Title: PRESIDENT
Phone: (319) 277-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies	332BN1400X	Primary

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