| NPI | 1114113347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODARO OMOLARA OWEN President/CEO 213-613-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 2806725) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |