| NPI | 1821961129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLARIN S SMITH Administrator 209-488-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |