| NPI | 1356093082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JOE ROCKEY President 949-289-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |