# ADVANCED HOME CARE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1689776619
- **Authorized official:** MR. LAWRENCE JAMES AFAHA JR. (PRESIDENT)
- **Authorized official phone:** (714) 889-7071

## Contact information

- **Practice address:** 7659 GARDEN GROVE BLVD, GARDEN GROVE, CA 92841-4206
- **Practice address phone:** (714) 889-7071
- **Practice address fax:** (714) 889-7087
- **Mailing address:** 7659 GARDEN GROVE BLVD, P.O BOX 53 TUSTIN CA 92781, GARDEN GROVE, CA 92841-4206
- **Mailing address phone:** (714) 889-7071
- **Mailing address fax:** (714) 889-7087

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020