Active Living Ostomy, INC
NPI #1184736209 in Norco, California
Provider Information
- NPI Number
- 1184736209
- Entity Type
- Organization
- Organization Name
- Active Living Ostomy, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 994 THOROUGHBRED LN
- City
- Norco
- State
- California
- ZIP Code
- 92860-3861
- Phone
- (951) 808-9734
Authorized Official
- Name
- MR. GIRMA LEGGESSE, NONE
- Title
- OWNER/PRESIDENT
- Phone
- (951) 808-9734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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