| NPI | 1679716260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMILOLA A KING C.E.O 909-383-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 50373) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2011-05-24 |