Organization
MEDPORT RESTORATIVE CARE & REHAB SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M. ROSADO L.V.N., C.O.F. (PRESIDENT, OWNER)
(661) 269-5795
Entity
Organization
Contact information
Practice address
1672 W AVENUE J, SUITE #207-C, LANCASTER, CA 93534-2827
(661) 945-3344
(661) 945-1144
Mailing address
PO BOX 8937, LANCASTER, CA 93539-8937
(661) 945-3344
(661) 945-1144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47080
CA
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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