Sg Homecare, INC
Durable Medical Equipment & Medical Supplies in Santa Rosa, CA. Organization (NPI-2).
NPI number1013531920
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1013531920
- Entity type
- Organization (NPI-2)
- Legal business name
- Sg Homecare, INC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2020
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
5550 Skylane Blvd Ste GSanta Rosa, CA 95403-1072
Phone 707-502-3203 · Fax 707-540-6019
Mailing address
345 McCormick AveCosta Mesa, CA 92626-3422
Phone 949-474-2050 · Fax 949-474-4460
Authorized official
Alexandria Hren
Director
9494742050
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