Organization
REEDLEY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHODA ENNS (PRESIDENT / CEO)
(559) 638-8004
Entity
Organization
Contact information
Practice address
1205 11TH ST, REEDLEY, CA 93654-2924
(559) 638-8004
(559) 637-1979
Mailing address
1205 11TH ST, REEDLEY, CA 93654-2924
(559) 638-8004
(559) 637-1979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00898F
—
CA
Enumeration date
07/30/2009
Last updated
01/15/2010
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