| NPI | 1114196805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA GRIGORYEVA President 818-500-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-09-17 |