# HOME MEDICAL OF VISALIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063606887
- **Authorized official:** MR. GERALD CORNELIUS (PRESIDENT)
- **Authorized official phone:** (559) 625-2366

## Contact information

- **Practice address:** 131 S DUNWORTH ST STE B, VISALIA, CA 93292-6705
- **Practice address phone:** (559) 625-2366
- **Practice address fax:** (559) 622-9816
- **Mailing address:** 131 S DUNWORTH ST STE B, VISALIA, CA 93292-6705
- **Mailing address phone:** (559) 625-2366
- **Mailing address fax:** (559) 622-9816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45955 | CA | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 02/08/2008
