Organization
HOMELINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHIRISH N MODY (OWNER)
(502) 491-1851
Entity
Organization
Contact information
Practice address
9625 BLACK MOUNTAIN RD, SUITE 302, SAN DIEGO, CA 92126-4564
(800) 644-2558
(877) 365-1937
Mailing address
9625 BLACK MOUNTAIN RD, SUITE 302, SAN DIEGO, CA 92126-4564
(800) 644-2558
(877) 365-1937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1267670001
KY
Other
Enumeration date
02/01/2007
Last updated
11/07/2012
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