| NPI | 1013863208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DECKER Billing Manager 667-215-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-03-09 |