Colonial Medical Supply
Restricted
Colonial Medical Supply is subject to Restricted. See the individual lists below.
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Aliases
- Colonial Medical Supply
Address
6809 Sepulveda Blvd., Van Nuys, CA, 91405
ID Details
ID NUMBER : ['CI 15-0039-000', '2015-0003219']
ID TYPE : AHCA Case Number
ID NUMBER : 1881625556DME03409F
ID TYPE : provider_number
ID NUMBER : CI 10-1291-100
ID TYPE : AHCA Case Number
View Notes
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Colonial Medical Supply Sanctioned By Below Authorities
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Florida Agency for Health Care Administration | Nov 23, 2010 | active |
| The California Department of Health Care Services | Jan 27, 2016 | active |
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