| NPI | 1457088858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ALLEN THORNTON President 619-737-6219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |