| NPI | 1104172279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCHRECK Chief Operations Officer 866-351-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 5912) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2013-01-11 |