Organization
HOME HEALTH SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYDNEY GUBIN II ATP/S, CRTS (PRESIDENT)
(760) 327-3378
Entity
Organization
Contact information
Practice address
820 E RESEARCH DR STE 4, PALM SPRINGS, CA 92262-5945
(760) 327-3378
(760) 327-7365
Mailing address
820 E RESEARCH DR STE 4, PALM SPRINGS, CA 92262-5945
(760) 327-3378
(760) 327-7365
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
103473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00750F
—
CA
Enumeration date
09/28/2006
Last updated
08/22/2020
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