| NPI Details | |
|---|---|
| NPI | 1275559825 |
| Enumeration Date | 07/15/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | ANIETIE JOHN ANIETIE |
| Position | PRESIDENT |
| Phone | (909) 384-1910 |
| Fax | (909) 384-1908 |
| Practice Location | |
|---|---|
| 320 N E ST SUITE 100 SAN BERNARDINO CA, 92401-1540, US |
|
| Phone | (909) 384-1910 |
| Fax | (909) 384-1908 |
| Business Location | |
|---|---|
| 320 N E ST SUITE 100 SAN BERNARDINO CA, 92401-1540, US |
|
| Phone | (909) 384-1910 |
| Fax | (909) 384-1908 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | California |
| License Number | 44974 |
| Remove 1275559825 NPI Number | |
According to our database, Life Alert Homecare Supplies, Inc. NPI is 1275559825, taxonomy code is 332B00000X and license number is 44974, license state is located at California. Life Alert Homecare Supplies, Inc. physically located at 320 N E St, San Bernardino CA, 92401-1540. NPI Number 1033115704 has the healthcare provider type.
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1275559825 NPI number is provided on an as is basis without warranty of any kind. 1275559825 is maintained by the National Plan & Provider Enumeration System. The contents of Life Alert Homecare Supplies, Inc. are for informational purposes only.
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