| NPI | 1073695896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL J ROYER Operations Manager 800-467-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-07-14 |