| NPI | 1629730163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WILSON-RUANE Manager, President, Secretary, 213-216-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |