| NPI | 1750407292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JANE THOMAS Administrator 661-393-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-04-09 |