| NPI | 1780946863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE EWERT Owner 209-523-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2016-12-13 |