| NPI | 1033551023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PEREZ Representative 855-461-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-08-23 |