| NPI | 1508021908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA CAVANAUGH Office Admin 909-307-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |