| NPI | 1568900421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAREN DICKERSON CFO 661-294-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |