| NPI | 1538223003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA OCHOA Administrator 888-407-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 008574) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2025-01-10 |