| NPI | 1881756674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEVIN CROWDER President 559-441-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CA CO003684) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |