| NPI | 1962569145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE L HELLIESEN Owner 909-623-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-07-07 |