Organization
MENDO-LAKE HOME RESPIRATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK GONZALES (CEO)
(707) 263-9888
Entity
Organization
Contact information
Practice address
843 PARALLEL DR, LAKEPORT, CA 95453-5707
(707) 263-9888
(707) 263-9889
Mailing address
PO BOX 639, LAKEPORT, CA 95453-9917
(707) 263-9888
(707) 263-9889
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
01/15/2014
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