Organization
CENTRAL HOME MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C LUKER JR. (MANAGER/OWNER)
(760) 352-3456
Entity
Organization
Contact information
Practice address
598 BROADWAY ST, EL CENTRO, CA 92243-2418
(760) 352-3456
(760) 312-9504
Mailing address
598 BROADWAY ST, EL CENTRO, CA 92243-2418
(760) 352-3456
(760) 312-9504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
FHA97-822245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03288F
—
CA
Enumeration date
01/09/2006
Last updated
03/31/2011
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