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Organization
BROADWAY MEDICAL SERVICE & SUPPLY, INC
Active
Organization
BROADWAY MEDICAL SERVICE & SUPPLY, INC
Active
Parent organization
DARR-B CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
DARR-B CORP
Authorized official
MR. RONALD ALLAN BIASCA (PRESIDENT)
(707) 442-3719
Entity
Organization
Contact information
Practice address
899 MAIN ST, FORTUNA, CA 95540-1925
(707) 725-6944
(707) 725-1655
Mailing address
1034 BROADWAY, EUREKA, CA 95501-0126
(707) 442-3719
(707) 442-0237
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100211
CA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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