MEDICARE: SHUR-IN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1366090029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHUR-IN, INC.

Provider Business Mailing Address
First Line	:	7452 ROWENA STREET
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-1241
Country	:	US
Telephone Number	:	617-224-2983
Fax Number	:

Provider Business Practice Location Address
First Line	:	7452 ROWENA STREET
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-1241
Country	:	US
Telephone Number	:	617-224-2983
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. PRECY C. ORDINANZA
Credential	:	RN
Telephone Number	:	858-366-5062

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	08/27/2019

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Directions to “SHUR-IN, INC. ” Practice Location

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