| NPI | 1083617195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG A KIKEN President 866-807-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 200323767) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |