| NPI | 1619829116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN LAPLANTE Authorized Official 818-659-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-05-30 |