| NPI | 1700663861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE CASTRO Managing Member 657-500-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-21 |