| NPI | 1194754994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS ALLAN GODDEN CEO/Owner 559-261-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103284) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-06-20 |