| NPI | 1235965971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY GRAF Owner 949-416-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-10-11 |