Organization
UNGORAS INC.
Active
Other names
Rehab Mobility Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L FOURNIER (PRESIDENT)
(707) 523-0516
Entity
Organization
Contact information
Practice address
1319 CENTRAL AVENUE, SUITE A, SANTA ROSA, CA 95401-4700
(707) 523-0516
(415) 276-6350
Mailing address
1319 CENTRAL AVENUE, SUITE A, SANTA ROSA, CA 95401-4700
(707) 523-0516
(415) 276-6350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
52732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00265F
—
CA
Enumeration date
11/29/2005
Last updated
04/12/2010
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