| NPI | 1396418406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE JACKSON President 510-222-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |