Organization · Type 2 NPI

Divine Medical Supply, Incorporated

Nursing Facility Supplies (DME) · Fullerton, CA

NPI number 1891086914 Active

Practice location

285 S Gilbert St
Fullerton, CA 92833-2908

Fax (714) 930-9435

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Hospital 282E00000XNone listed
Nursing Facility Supplies (DME) Primary 332BN1400XNone listed

Nursing Facility Supplies (DME): Definition to come...

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About NPI 1891086914

Divine Medical Supply, Incorporated's National Provider Identifier is 1891086914, issued on Apr 23, 2011. The primary taxonomy on file is Nursing Facility Supplies (DME) (332BN1400X), and the practice location is in Fullerton, CA. The record was last updated on Apr 23, 2011.