Organization
CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOMI S WRONG (ACTING EXECUTIVE DIRECTOR)
(510) 841-4776
Entity
Organization
Contact information
Practice address
2539 TELEGRAPH AVE, BERKELEY, CA 94704-2917
(510) 841-4776
(510) 841-6168
Mailing address
2539 TELEGRAPH AVE, BERKELEY, CA 94704-2917
(510) 841-4776
(510) 841-6168
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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