# SIGNATURE HEALTH SUPPLIES

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

## Provider details

- **NPI number:** 1568070852
- **Authorized official:** JASON HAGEMAN (OWNER)
- **Authorized official phone:** (707) 217-3037

## Contact information

- **Practice address:** 5510 SKYLANE BLVD STE 101A, SANTA ROSA, CA 95403-1029
- **Practice address phone:** (707) 217-3037
- **Mailing address:** 5510 SKYLANE BLVD STE 101A, SANTA ROSA, CA 95403-1029

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2020
- **Last updated:** 07/22/2020