| NPI | 1962641472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DIANNE PEDDICORD President 559-909-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: CA 696799) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |