| NPI | 1265018154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT JAY HEINTZ President 909-319-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |