| NPI | 1861274359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JASON MAIZE Managing Owner 818-634-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-11-21 |