| NPI | 1659111482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY KAY-MADDOX WELSH Director 408-348-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |