| NPI | 1558550905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY RICKETTS President 818-472-5374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-06-25 |