Organization
CHILDRENS HOSPITAL HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS MORRISON (ADMINISTRATOR)
(559) 353-7125
Entity
Organization
Contact information
Practice address
7555 N DEL MAR AVE, SUITE 101, FRESNO, CA 93711-6860
(559) 353-7125
(559) 353-7462
Mailing address
7555 N DEL MAR AVE, SUITE 101, FRESNO, CA 93711-6860
(559) 353-7125
(559) 353-7462
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PHY44810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA448100
—
CA
Enumeration date
11/13/2006
Last updated
08/22/2020
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