Organization
ALCORN ADAPTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY J ALCORN (PRESIDENT)
(760) 218-0035
Entity
Organization
Contact information
Practice address
3800 E VISTA CHINO STE 4, PALM SPRINGS, CA 92262-4010
(760) 464-0366
Mailing address
3800 E VISTA CHINO STE 4, PALM SPRINGS, CA 92262-4010
(760) 464-0366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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