| NPI | 1255562229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL T HEATH Owner 858-541-0552 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |