P & R Home IV Service, Inc.

NPI #1265857924 in Defiance, Ohio

Provider Information

NPI Number: 1265857924
Entity Type: Organization
Organization Name: P & R Home IV Service, Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Mar 4, 2014
Last Updated: Mar 4, 2014

Practice Location

Address: 1018 RALSTON AVENUE
Address 2: SUITE 107
City: Defiance
State: Ohio
ZIP Code: 43512
Phone: (866) 782-2857

Authorized Official

Name: MRS. ROBIN SUE FARRIS
Title: SECRETARY/TREASURER
Phone: (800) 587-7670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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