| NPI | 1023618592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MORDUKHAYEV Authorized Offical 800-607-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |