| NPI | 1770072712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN G WILLIAMS Vice President 805-320-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |