| NPI | 1932269321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ELAINE DEHART Owner 661-325-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA CA07443T) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-12-16 |