| NPI | 1053503797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE D JAY General Partner 760-341-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-11-30 |