| NPI | 1821817511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY J ALCORN President 760-218-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |