Organization
AMANDA CARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELE T PERRY (CEO)
(909) 949-7911
Entity
Organization
Contact information
Practice address
8200 HAVEN AVE, 2110, RANCHO CUCAMONGA, CA 91730-8165
(909) 949-7911
Mailing address
8200 HAVEN AVE, 2110, RANCHO CUCAMONGA, CA 91730-8165
(909) 949-7911
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103790
CA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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