| NPI | 1205801057 |
|---|---|
| Doing Business As | ANTELOPE VALLEY SICKROOM SUPPLY |
| Entity Type | Organization |
| Authorized Contact | LARRY LEE THOMPSON President 661-942-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101203) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-22 |