| NPI | 1154849859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W BLACK Compliance Officer 619-467-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-01-18 |