| NPI | 1093050460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL QUINTANILLA CEO 800-561-0693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |