Organization
AVONDALE HME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BURRUSS (BRANCH MANAGER)
(623) 295-2724
Entity
Organization
Contact information
Practice address
10750 W MCDOWELL RD STE A110, AVONDALE, AZ 85392-5959
(623) 295-2724
Mailing address
10750 W MCDOWELL RD STE A110, AVONDALE, AZ 85392-5959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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