| NPI | 1992103287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEE WILLIAMS President 661-472-5790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |