| NPI | 1821163221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BETTENCOURT Vice President 209-537-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100215) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-05-08 |