| NPI | 1033931696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY M VESTAL President And Director 866-897-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |