| NPI | 1578197885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RONALD GREEN CEO 760-641-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |