| NPI | 1205201779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON THOMAS President 925-786-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: WA 603427207) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2025-02-27 |