Organization
BLUE STAR MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRETT PAUL WARE (CEO)
(559) 441-7827
Entity
Organization
Contact information
Practice address
2131 S VAN NESS AVE, FRESNO, CA 93721-3422
(559) 441-7827
(559) 441-7829
Mailing address
2131 S VAN NESS AVE, FRESNO, CA 93721-3422
(559) 441-7827
(559) 441-7829
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
44821
CA
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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