| NPI | 1114194115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL DOWNS Secretary Treasurer 800-545-6337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000320) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV H13002925127424) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2009-04-30 |