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Blaze Valley Corporation
Parenteral & Enteral Nutrition Supplies (DME) in Somerset, Kentucky
NPI 1669761391

Blaze Valley Corporation is a Parenteral & Enteral Nutrition Supplies (DME) based in Somerset, KY and is specialized in Parenteral & Enteral Nutrition. Blaze Valley Corporation practices in Somerset, KY. The NPI Number for Blaze Valley Corporation is 1669761391 and holds a License No. (Kentucky).

The current practice location address for Blaze Valley Corporation is 974 Piney Grove Rd, Somerset, KY and can be reached out via phone at 606-274-0156 and via fax at 606-274-0234.

Location: 974 Piney Grove Rd, Somerset, KY, 42501-5476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669761391
Provider Name
Blaze Valley Corporation
Credential
Provider Entity Type
Organization
Address
974 Piney Grove Rd, Somerset, KY, 42501-5476
Phone Number
606-274-0156
Fax Number
606-274-0234
Provider Enumeration Date
04/04/2011
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7100170560 05 KY
institution
Provider Business Practice Location Address Details
Address
974 Piney Grove Rd
City
Somerset
State
Kentucky
Zip
42501-5476
Phone Number
606-274-0156
Fax Number
606-274-0234
person
Provider Business Mailing Address Details
Address
974 Piney Grove Rd
City
Somerset
State
Kentucky
Zip
42501-5476
Phone Number
606-274-0156
Fax Number
606-274-0234
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
HME00706 (Kentucky)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
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