Organization
AVONDALE HME, INC.
Active
Parent organization
AVONDALE HME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVONDALE HME, INC.
Authorized official
NICHOLAS BURRUSS (PRESIDENT)
(888) 543-4039
Entity
Organization
Contact information
Practice address
2020 CAMINO DEL RIO NORTH, SUITE 205, SAN DIEGO, CA 92108
(888) 543-4039
Mailing address
2020 CAMINO DEL RIO N STE 205, SAN DIEGO, CA 92108-1542
(888) 543-4039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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