Organization
LIFE ON WHEELS LLC
Active
Other names
Life On Wheels
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SHARKEY ATP (OWNER/OPERATOR)
(707) 825-6515
Entity
Organization
Contact information
Practice address
550 S G ST STE 29, ARCATA, CA 95521-2601
(707) 825-6515
(707) 825-6915
Mailing address
550 S G ST STE 29, ARCATA, CA 95521-2601
(707) 825-6515
(707) 825-6915
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
98455
CA
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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