| NPI | 1053755520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANTONIO WEBER CFO 800-524-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-05-14 |