NPI | 1578986220 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAINE CALVIN HUNT CEO 760-929-2828 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 72620) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2023-10-27 |