| NPI | 1013421486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A LARIVIERE Chief Compliance Officer 866-776-6782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2025-04-04 |