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Wallace Home Medical Supplies
Oxygen Equipment & Supplies (DME) in Paso Robles, California
NPI 1215096466

Wallace Home Medical Supplies is a Oxygen Equipment & Supplies (DME) based in Paso Robles, CA and is specialized in Oxygen Equipment & Supplies. Wallace Home Medical Supplies practices in Paso Robles, CA. The NPI Number for Wallace Home Medical Supplies is 1215096466 and holds a License No. 103383 (California).

The current practice location address for Wallace Home Medical Supplies is 1414 Park St, Paso Robles, CA and can be reached out via phone at 805-238-3935 and via fax at 805-238-3974.

Location: 1414 Park St, Paso Robles, CA, 93446-2160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215096466
Provider Name
Wallace Home Medical Supplies
Credential
Provider Entity Type
Organization
Address
1414 Park St, Paso Robles, CA, 93446-2160
Phone Number
805-238-3935
Fax Number
805-238-3974
Provider Enumeration Date
12/06/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ 08974 Z 01 CA BLUE SHIELD DME PROVIDER
DME03195F 05 CA
institution
Provider Business Practice Location Address Details
Address
1414 Park St
City
Paso Robles
State
California
Zip
93446-2160
Phone Number
805-238-3935
Fax Number
805-238-3974
person
Provider Business Mailing Address Details
Address
1414 Park St
City
Paso Robles
State
California
Zip
93446-2160
Phone Number
805-238-3935
Fax Number
805-238-3974
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
18268 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
103383 (California)
Definition
Definition to come...
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