| NPI | 1932209079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE LEE Administrative Assistant 866-292-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 62623) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |