| NPI | 1144415134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY L CORPENING President 916-482-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2020-11-16 |