Organization
GREATER HEALTH MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEOYE MOSES OGUNLADE (OWNER)
(310) 679-0660
Entity
Organization
Contact information
Practice address
11612 HAWTHORNE BLVD, SUITE 102, HAWTHORNE, CA 90250-2365
(310) 679-0660
Mailing address
11612 HAWTHORNE BLVD, SUITE 102, HAWTHORNE, CA 90250-2365
(310) 679-0660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5413670001
CA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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