| NPI | 1639884919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNA MCINTOSH President 949-302-9025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-06-28 |