| NPI | 1063042091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SIERRA Director 888-623-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-10-29 |