# BACK-A-LINE, INC.

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

## Provider details

- **NPI number:** 1437285111
- **Authorized official:** MR. WILLIAM A LANDTBOM MBA (PRESIDENT)
- **Authorized official phone:** (415) 715-6800

## Contact information

- **Practice address:** 644 11TH AVE, SAN FRANCISCO, CA 94118-3613
- **Practice address phone:** (415) 715-6800
- **Practice address fax:** (415) 715-5684
- **Mailing address:** 644 11TH AVE, SAN FRANCISCO, CA 94118-3613
- **Mailing address phone:** (415) 715-6800
- **Mailing address fax:** (415) 715-5684

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020
