Organization · NPI-2

Advanced Home Care Med Supp

Durable Medical Equipment & Medical Supplies · Orange, CA

NPI number1790882835
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1790882835
Entity type
Organization (NPI-2)
Legal business name
Advanced Home Care Med Supp
Organization subpart
No
Enumeration date
Sep 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

475 N Tustin Ave
Orange, CA 92867-7778

Phone 714-628-9516 · Fax 714-628-9764

Mailing address

475 N Tustin Ave
Orange, CA 92867-7778

Phone 714-628-9516 · Fax 714-628-9764

Authorized official

Lawrance Afaha
President Coo
7146289516

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