| NPI | 1083937122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DAVID BAMONTE Owner 310-347-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: OH 2882411) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |