Organization
RESIDENTIAL MEDICAL SUPPLY SERVICES
Active
Other names
Residential Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LEE KELLY SEABORN (PRESIDENT)
(510) 553-9159
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE, SUITE 128, OAKLAND, CA 94605-2403
(510) 553-9159
(510) 553-9256
Mailing address
7200 BANCROFT AVE, SUITE 128, OAKLAND, CA 94605-2403
(510) 553-9159
(510) 553-9256
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1232010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9480431
—
CA
Enumeration date
08/04/2006
Last updated
08/22/2020
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