| NPI | 1225236789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY COOK Owner 818-224-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-02-27 |