| NPI | 1851403620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN LAFAYETTE NEWSOME President 760-599-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103174) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-01-06 |