| NPI | 1912619867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE CALVIN HUNT CEO 760-929-2828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2023-10-27 |