| NPI | 1548509748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A CROWELL Regulatory 760-477-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |