Organization
KATHLEEN E. HUGGINS
Active
Other names
Simply Mama
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN E HUGGINS RN (OWNER)
(805) 550-9120
Entity
Organization
Contact information
Practice address
2705 MCMILLAN AVE, SUITE 130, SAN LUIS OBISPO, CA 93401-4741
(805) 541-1463
(805) 541-1469
Mailing address
2705 MCMILLAN AVE, SUITE 130, SAN LUIS OBISPO, CA 93401-4741
(805) 541-1463
(805) 541-1469
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME01775G
MEDICAL
—
Enumeration date
10/31/2007
Last updated
08/24/2015
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