| NPI | 1689434060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN BATISTE Administrator 661-495-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |