| NPI | 1225922966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SMITH Authorized Official 805-324-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |