Pine Ridge Medical Supply
NPI #1225331788 in Williamsburg, Ohio
Provider Information
- NPI Number
- 1225331788
- Entity Type
- Organization
- Organization Name
- Pine Ridge Medical Supply
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PINE RIDGE-PINE VILLAGE RES. HOMES, INC.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 6, 2010
- Last Updated
- Dec 6, 2010
Practice Location
- Address
- 146 N 3RD ST
- City
- Williamsburg
- State
- Ohio
- ZIP Code
- 45176-1322
- Phone
- (513) 724-3460
Authorized Official
- Name
- MRS. VERNA L. GOECKE
- Title
- PRESSIDENT/ADMINISTRATOR
- Phone
- (513) 724-3460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Durable Medical Equipment & Medical Supplies |
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