| NPI | 1205982584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVIN R. MINIE President 818-348-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 09166T) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-03-26 |