| NPI | 1477888519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL MONGE RUFIN Owner 408-687-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |