| NPI | 1003341959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS SERRANO Operations Manager 800-996-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20288413) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2025-03-24 |