| NPI | 1275263345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIECE R HEYWARD Owner 909-659-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |