Organization
MOWELL
Active
Organization
MOWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EJIMOFOR AMADI (OFFICER)
(916) 226-1130
Entity
Organization
Contact information
Practice address
901 SUNRISE, ROSEVILLE, CA 95661
(916) 226-1130
Mailing address
330 VERNON ST UNIT 1172, ROSEVILLE, CA 95678-9553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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