| NPI | 1861193757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE EWERT CEO 209-523-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-01-18 |