# HOLY CHILD MEDICAL SUPPLY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOLY CHILD MEDICAL SUPPLY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932379245
- **Authorized official:** MRS. OLAYEMI IRIAFEN (PRESIDENT)
- **Authorized official phone:** (818) 709-4131

## Contact information

- **Practice address:** 8619 RESEDA BLVD, SUITE 201, NORTHRIDGE, CA 91324
- **Practice address phone:** (818) 709-4131
- **Practice address fax:** (818) 709-1352
- **Mailing address:** 8619 RESEDA BLVD, SUITE 201, NORTHRIDGE, CA 91324
- **Mailing address phone:** (818) 709-4131
- **Mailing address fax:** (818) 709-1352

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 12/08/2008
