Organization
FOREVER ACTIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE LIBARIAN (PRESIDENT)
(626) 389-8790
Entity
Organization
Contact information
Practice address
1421 RAILROAD ST, GLENDALE, CA 91204-2715
(626) 389-8790
(626) 466-3020
Mailing address
1421 RAILROAD ST, GLENDALE, CA 91204-2715
(626) 389-8790
(626) 466-3020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/21/2024
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