Organization
HANNAH'S MEDICAL AND GENERAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE LOUISE HANNAH (OWNER)
(951) 221-1125
Entity
Organization
Contact information
Practice address
24281 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553-3029
(951) 221-1125
(310) 217-8825
Mailing address
24281 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553-3029
(951) 221-1125
(310) 217-8825
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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