| NPI | 1467548321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KAREN LANGFORD Owner 951-652-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-06-13 |