Organization · Type 2 NPI
Covenant Medical Supply, Inc.
Customized Equipment (DME) · Perris, CA
NPI number
1205905718
Active
Practice location
351 Wilkerson Ave, Suite A
Perris, CA 92570-2203
Fax (951) 943-3939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 47574 (CA) |
Customized Equipment (DME): Definition to come...
About NPI 1205905718
Covenant Medical Supply, Inc.'s National Provider Identifier is 1205905718, issued on Nov 7, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Perris, CA. The record was last updated on May 14, 2008.