institution
Providence Medical Supply Llc
Durable Medical Equipment & Medical Supplies in Ontario, California
NPI 1659096410

Providence Medical Supply Llc is a Durable Medical Equipment & Medical Supplies based in Ontario, CA. Providence Medical Supply Llc practices in Ontario, CA. The NPI Number for Providence Medical Supply Llc is 1659096410 and holds a License No. (California).

The current practice location address for Providence Medical Supply Llc is 1125 N Mountain Ave, Ontario, CA and can be reached out via phone at 909-443-7115.

Location: 1125 N Mountain Ave, Ontario, CA, 91762-1739
institution
Provider Profile Details
NPI Number
1659096410
Provider Name
Providence Medical Supply Llc
Credential
Provider Entity Type
Organization
Address
1125 N Mountain Ave, Ontario, CA, 91762-1739
Phone Number
909-443-7115
Fax Number
Provider Enumeration Date
10/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1125 N Mountain Ave
City
State
Zip
91762-1739
Phone Number
909-443-7115
Fax Number
person
Provider Business Mailing Address Details
Address
1125 N Mountain Ave
City
State
Zip
91762-1739
Phone Number
909-443-7115
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
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.
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