Organization
WICHITA HOME CARE EQUIPMENT, INC.
Active
Other names
Home Med-Equip Co.
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF WOOLARD (PRESIDENT)
(925) 680-0638
Entity
Organization
Contact information
Practice address
1221 E ORANGEBURG AVE, STE 6, MODESTO, CA 95350-4654
(209) 521-2538
Mailing address
1221 E ORANGEBURG AVE, STE 6, MODESTO, CA 95350-4654
(209) 521-2538
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00229F
—
CA
Enumeration date
02/28/2007
Last updated
08/22/2020
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