| NPI | 1760299242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY BERNICE HARRISON Owner 909-990-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |