| NPI | 1144505272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEH MODY President 619-795-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 2011027998) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2018-03-16 |