| NPI | 1912054156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTA JEAN FRIES Owner 559-432-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-06-17 |