| NPI | 1932322286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS KYLES Owner 909-591-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 46177) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-06-26 |