Organization
ADVANCED HOME CARE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE JAMES AFAHA JR. (PRESIDENT)
(714) 889-7071
Entity
Organization
Contact information
Practice address
7659 GARDEN GROVE BLVD, GARDEN GROVE, CA 92841-4206
(714) 889-7071
(714) 889-7087
Mailing address
7659 GARDEN GROVE BLVD, P.O BOX 53 TUSTIN CA 92781, GARDEN GROVE, CA 92841-4206
(714) 889-7071
(714) 889-7087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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