| NPI | 1356450423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN BOBBITT CEO /President 909-884-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA M66550) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA M66550) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA M66550) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA M66550) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-07-21 |