| NPI | 1972337657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SAMPAYAN CEO 909-844-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |