| NPI | 1013910926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG E ROTENBERRY Director 302-452-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 1996106974) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |