Organization
OPTION 1 NUTRITION SOLUTIONS, CA, INC
Active
Other names
Option 1 Healthcare Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN CHARLESWORTH CPA (CFO)
(866) 883-1188
Entity
Organization
Contact information
Practice address
3065 RESEARCH DR., RICHMOND, CA 94806
(510) 233-7332
(510) 758-9088
Mailing address
2460 EAST GERMANN ROAD, SUITE 18, CHANDLER, AZ 85286
(480) 883-1188
(480) 883-1193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780868059
—
CA
Enumeration date
12/21/2007
Last updated
01/14/2015
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