| NPI | 1073108809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI R DONALDSON CFO 619-543-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |