| NPI | 1013998368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY C BERNICCHI Manager 800-261-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203-000381) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2023-05-08 |