Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion |
251F00000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Infusion Therapy |
261QI0500X | |||
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1609899590 |
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| LBN Legal business name | CORAM ALTERNATE SITE SERVICES INC | ||||||||||||||||
| Authorized official | TRICIA LACAVICH - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 07/25/2006 | ||||||||||||||||
| Last updated | 03/07/2023 - About 3 years ago | ||||||||||||||||
| Identifiers |
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