| NPI | 1629284781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LEE NELSON Vocational Consultant 510-465-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-09-11 |