# RELIABLE HOME MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1598832149
- **Authorized official:** MR. AJIBADE KAMORU ADEFIOYE (OWNER)
- **Authorized official phone:** (310) 676-6066

## Contact information

- **Practice address:** 14601 PRAIRIE AVE, LAWNDALE, CA 90260-1830
- **Practice address phone:** (310) 676-6066
- **Practice address fax:** (310) 676-6066
- **Mailing address:** PO BOX 91657, LOS ANGELES, CA 90009-1657
- **Mailing address phone:** (310) 676-6066
- **Mailing address fax:** (310) 676-6066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 46174 | CA | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020