| NPI | 1275717043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LEE GOODMAN President/CEO 909-335-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2021-08-19 |