| NPI | 1255985867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS S VERHOEVEN Owner/ President 916-690-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |