| NPI | 1013933571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA PITTS Credentialing Manager 888-345-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2026-06-28 |