Organization
COVENANT MEDICAL SUPPLY, INC.
Active
Other names
Cms, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD UDONWA NSEK SR. MIN. (CHIEF EXECUTIVE OFFICER)
(909) 815-5635
Entity
Organization
Contact information
Practice address
351 WILKERSON AVE, SUITE A, PERRIS, CA 92570-2203
(951) 943-3900
(951) 943-3939
Mailing address
351 WILKERSON AVE, SUITE A, PERRIS, CA 92570-2203
(951) 943-3900
(951) 943-3939
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
47574
CA
Other
Enumeration date
11/07/2006
Last updated
05/14/2008
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