| NPI | 1265607527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA JUETA PAULK Vice President/CFO 661-946-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |