Organization
SACVANS MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DALY (OFFICE MANAGER/BOOKKEEPER)
(916) 381-8267
Entity
Organization
Contact information
Practice address
5821 FLORIN PERKINS RD STE 1, SACRAMENTO, CA 95828-1032
(916) 381-8267
(916) 381-1946
Mailing address
5821 FLORIN PERKINS RD STE 1, SACRAMENTO, CA 95828-1032
(916) 381-8267
(916) 381-1946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
628706600
OWCP PROVIDER NUMBER
CA
Enumeration date
05/04/2020
Last updated
05/04/2020
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