Organization
SWEET STRIPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SUE THOMPSON (PARTNER)
(402) 461-4819
Entity
Organization
Contact information
Practice address
120 LATHROP LN, EL CAJON, CA 92021-4033
(619) 749-3756
(619) 334-9008
Mailing address
5465 W VALLEY RD, HASTINGS, NE 68901-9704
(402) 461-4819
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45650
HMDR LICENCE
CA
05
—
DME02798F
—
CA
01
—
SR KH 97-473950
SELLER'S PERMIT -BOE
CA
Enumeration date
11/20/2006
Last updated
03/15/2011
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