| NPI | 1679645113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBUMNEME ALILIONWU Director CEO 909-981-8894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100881) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-07-25 |