| NPI | 1699335612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJIMOFOR AMADI Officer 916-226-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |