Organization
CONVALESCENT EQUIPMENT & SUPPLY CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE CORDOVA (PRESIDENT)
(425) 774-0083
Entity
Organization
Contact information
Practice address
21829 HIGHWAY 99, EDMONDS, WA 98026-8035
(425) 774-0083
(425) 774-0420
Mailing address
21829 HIGHWAY 99, EDMONDS, WA 98026-8035
(425) 774-0083
(425) 774-0420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600561377
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006958
—
WA
Enumeration date
09/20/2006
Last updated
05/04/2021
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