Organization
ANDREA MARIE EWERT
Active
Other names
Home Oxygen Company, Home Oxygen Company, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MARIE EWERT (OWNER)
(209) 523-0202
Entity
Organization
Contact information
Practice address
5039 PENTECOST DR STE C, MODESTO, CA 95356-9290
(209) 523-0202
(888) 499-0202
Mailing address
PO BOX 578173, MODESTO, CA 95357-8173
(209) 523-0202
(888) 499-0202
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
01/24/2023
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