| NPI | 1043673411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE DIAZ Administration 800-705-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |