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Organization

APPLE WEST HOME MEDICAL SUPPLY LLC

Active
Other names
HR HealthCare Patient Services
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN BRUNE (SR LICENSURE AND CREDENTIALING SPEC)
(717) 207-7017
Entity
Organization

Contact information

Practice address
1122 DAVIS ST, SAN LEANDRO, CA 94577-2500
(510) 868-9175
(855) 380-4834
Mailing address
117 TOWNE LAKE PKWY STE 200, WOODSTOCK, GA 30188-4831
(877) 424-2562
(877) 832-9663

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123512
STATE OF CALIFORNIA HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
12/29/2008
Last updated
06/10/2026
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