| NPI | 1033154414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE TRENIESE PERRY Owner 909-949-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-06-13 |