Organization
CONVALESCENT EQUIPMENT AND SUPPLY CO. INC.
Active
Parent organization
CONVALESCENT EQUIPMENT AND SUPPLY CO. INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONVALESCENT EQUIPMENT AND SUPPLY CO. INC.
Authorized official
MICHAEL P CORDOVA (PRESIDENT)
(425) 774-0083
Entity
Organization
Contact information
Practice address
1251 OFFICERS ROW, VANCOUVER, WA 98661-3854
(877) 552-3726
(425) 774-0420
Mailing address
1251 OFFICERS ROW, VANCOUVER, WA 98661-3854
(877) 552-3726
(425) 774-0420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600561377
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500666641
—
OR
05
—
9006958
—
WA
Enumeration date
03/10/2014
Last updated
03/11/2014
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