Organization
BH MANAGEMENT SERVICES, LLC
Active
Other names
101 Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN L STORM (PRESIDENT)
(669) 222-9264
Entity
Organization
Contact information
Practice address
2109 OTOOLE AVE, SUITE C, SAN JOSE, CA 95131-1338
(669) 222-9264
(408) 824-5082
Mailing address
2109 OTOOLE AVE, SUITE C, SAN JOSE, CA 95131-1338
(669) 222-9264
(408) 824-5082
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
BHC101SCC
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BHC101SCC
101 MOBILITY ID
CA
Enumeration date
10/08/2013
Last updated
10/08/2013
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