Organization
ICGRIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SULLIVAN SALONE COPO (PRESIDENT)
(661) 874-8888
Entity
Organization
Contact information
Practice address
42304 COLUMBIA COURT, LANCASTER, CA 93536
(805) 217-0252
Mailing address
22543 VENTURA BLVD STE 220, WOODLAND HILLS, CA 91364-1403
(805) 217-0252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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