| NPI | 1043838485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SPELLMAN Owner 866-953-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-03-22 |