| NPI | 1609880251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M PETERO General Manager 209-552-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-11-27 |