| NPI | 1114240736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SHEPPARD President 855-836-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2012-10-21 |