Organization
HOME AGAIN MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS J OLSEN (PRESIDENT)
(916) 773-5959
Entity
Organization
Contact information
Practice address
200 DEREK PL, ROSEVILLE, CA 95678-7154
(916) 773-5959
(916) 773-2113
Mailing address
200 DEREK PL, ROSEVILLE, CA 95678-7154
(916) 773-5959
(916) 773-2113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SRKHA99291167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01805F
—
CA
Enumeration date
07/07/2005
Last updated
03/29/2010
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