| NPI | 1700357068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DAMATO Contract Manager 805-264-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |