NPI | 1992947261 |
---|---|
Former Legal Business Name | GOLD COAST DIABETES RESOURCE, LLC |
Entity Type | Organization |
Authorized Contact | CARIE FRANCES MORTENSEN CEO/President 562-706-4552 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-04-01 |
Last Update Date | 2015-04-29 |