| NPI | 1750518098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN JANE SHANAHAN President 949-290-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-13 |
| Last Update Date | 2009-06-13 |