| NPI | 1912289141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLE JOHNSON President 559-978-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |