| NPI | 1689661522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WAYNE CARTER CEO 909-590-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 25737) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2014-12-03 |