| NPI | 1093105751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK TJALAS COO 866-770-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ c001163) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2021-08-27 |