Organization
AVONDALE HME, INC.
Active
Parent organization
AVONDALE HME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVONDALE HME, INC.
Authorized official
NICHOLAS BURRUSS (PRESIDENT)
(888) 543-4039
Entity
Organization
Contact information
Practice address
41689 ENTERPRISE CIR N STE 112, TEMECULA, CA 92590-5630
(888) 543-4039
Mailing address
41689 ENTERPRISE CIR N STE 112, TEMECULA, CA 92590-5630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
03/29/2019
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