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Organization
AVONDALE HME, INC.
Active
Organization
AVONDALE HME, INC.
Active
Parent organization
AVONDALE HME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVONDALE HME, INC.
Authorized official
NICHOLAS BURRUSS (PRESIDENT)
(888) 543-4039
Entity
Organization
Contact information
Practice address
41689 ENTERPRISE CIR N STE 112, TEMECULA, CA 92590-5630
(888) 543-4039
Mailing address
41689 ENTERPRISE CIR N STE 112, TEMECULA, CA 92590-5630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/27/2017
Last updated
03/29/2019
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