| NPI | 1447251426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HUMPHREY CEO 818-517-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206008439) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-11-02 |