| NPI | 1760611446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO HOUSIE Owner/Manager 951-689-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2013-03-26 |