| NPI | 1366931388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CRUZ MANZOTTI Account Executive 949-282-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-06-16 |