| NPI | 1639225261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN A. KENT President 760-448-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 43639) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 43639) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 43639) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 43639) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-07-20 |