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
5046 COMMERCIAL CIR, STE G, CONCORD, CA 94520-8573
(925) 680-0638
Mailing address
5046 COMMERCIAL CIR, STE G, CONCORD, CA 94520-8573
(925) 680-0638
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190560001
PTAN
CA
05
—
DME00229F
—
CA
Enumeration date
08/19/2006
Last updated
06/28/2012
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