# RESIDENTIAL MEDICAL SUPPLY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Residential Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689682866
- **Authorized official:** MR. CHARLES LEE KELLY SEABORN (PRESIDENT)
- **Authorized official phone:** (510) 553-9159

## Contact information

- **Practice address:** 7200 BANCROFT AVE, SUITE 128, OAKLAND, CA 94605-2403
- **Practice address phone:** (510) 553-9159
- **Practice address fax:** (510) 553-9256
- **Mailing address:** 7200 BANCROFT AVE, SUITE 128, OAKLAND, CA 94605-2403
- **Mailing address phone:** (510) 553-9159
- **Mailing address fax:** (510) 553-9256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1232010 | CA | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020