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Organization

SOUTHWEST HOME HEALTH SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL DOMINIC BAMONTE III (CEO)
(323) 363-9258
Entity
Organization

Contact information

Practice address
1854 COLBY AVE APT 1, LOS ANGELES, CA 90025-5420
(323) 363-9258
Mailing address
1854 COLBY AVE APT 1, LOS ANGELES, CA 90025-5420
(323) 363-9258

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/17/2008
Last updated
09/17/2008
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