Organization
ELDERLY CENTRAL LLC
Active
Other names
Elderly Central LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO GERALD COLLISON (OWNER)
(917) 250-9770
Entity
Organization
Contact information
Practice address
5790 LAGOON ROAD, HOMEWOOD, CA 96141-9614
(917) 250-9770
Mailing address
PO BOX 843, HOMEWOOD, CA 96141-0843
(408) 966-5364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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