Organization
MY HOME MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MARTINEZ (MANAGER)
(916) 921-1054
Entity
Organization
Contact information
Practice address
4700 NORTHGATE BLVD STE 160, SACRAMENTO, CA 95834-1147
(916) 921-1054
(916) 943-1633
Mailing address
4700 NORTHGATE BLVD STE 160, SACRAMENTO, CA 95834-1147
(916) 921-1054
(916) 943-1633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
76536
CA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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