| NPI | 1619296506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK S. DUNCKEL Secretary/Treasurer 559-627-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2018-01-25 |