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Organization
FOM INDUSTRIES, LLC
Active
Organization
FOM INDUSTRIES, LLC
Active
Other names
FOM Industries
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE F GONZALEZ (CEO)
(978) 245-6699
Entity
Organization
Contact information
Practice address
2064 OEDIPUS DR, SAN ANTONIO, TX 78245-7700
(210) 788-6948
Mailing address
2064 OEDIPUS DR, SAN ANTONIO, TX 78245-7700
(210) 788-6948
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
405300000X
Prevention Professional
—
NULL
405300000X
Prevention Professional
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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