| NPI | 1104179803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. PATRICIA MASTANDREA CEO 800-503-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-09-13 |