| NPI | 1558597872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILLARD S. MCCOY CEO 951-538-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2010-09-27 |