| NPI | 1043275969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OBERG VP, Compliance 499-988-5893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: NY 9296L0001) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NY 020477) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-09-22 |