| NPI | 1063834869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONE JAY EEK Director 800-929-6809 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-05-01 |