Organization
IN HOME SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANIS KING (OWNER/MANAGER)
(408) 515-9478
Entity
Organization
Contact information
Practice address
1628 HOPE DR. #736, SANTA CLARA, CA 95054-1772
(408) 515-9478
(408) 588-1619
Mailing address
467 SARATOGA AVE # 215, SAN JOSE, CA 95129-1326
(408) 515-9478
(408) 588-1619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201209010149
LLC FILE #
CA
Enumeration date
11/07/2012
Last updated
11/07/2012
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